Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle

H. Kado, Y. Shiokawa, T. Asou, Y. Imoto, Y. Miyake, T. Nakano, H. Yasuda, K. Imasaka, M. Suzuki

研究成果: ジャーナルへの寄稿記事

抄録

From 1988 through 1994, 18 patients who had common atrioventricular valve regurgitation associated with single ventricle underwent valvuloplasty. All patients had isomerism heart (right isomerism: 16, left isomerism: 2). The preoperative degree of regurgitation was 3.3 +/- 0.4 (Sellers). Valvuloplasty was performed by two different procedures. Semi-circular annuloplasty was used in nine patients. Dividing the common atrioventricular valve orifice into two parts (bivalvation) with or without annuloplasty was used in nine. The concomitant procedures varied: three patients underwent systemic pulmonary shunt, two underwent repair of total anomalous pulmonary venous drainage, one underwent pulmonary arterial banding, five underwent bidirectional Glenn, shunt, and four underwent Fontan operation. One early death and three late deaths have occurred. The early postoperative degree of regurgitation was reduced to 1.3 +/- 1.0. In nine patients, however, the degree of regurgitation increased late postoperatively. Seven patients were reoperated on because of regurgitation: three patients had valve replacement and four had reannuloplasty. Increased incidence of deterioration of regurgitation in late period was seen in patients under 2 years old and those receiving a concomitant Blalock shunt. Lower event-free rate after 2 years was seen in patients with double inlet right or indeterminate ventricle and those underwent the annuloplasty alone. We conclude that the dividing common atrioventricular valve orifice into two parts with annuloplasty could effectively reduce the regurgitation in most patients with isomerism heart, and the concomitant ventricular unloading operation seems to offer promise for improving long-term results.

元の言語英語
ページ(範囲)606-610
ページ数5
ジャーナルKyobu geka. The Japanese journal of thoracic surgery
48
発行部数8
出版物ステータス出版済み - 7 1995

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Isomerism
Fontan Procedure
Lung
Drainage
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Kado, H., Shiokawa, Y., Asou, T., Imoto, Y., Miyake, Y., Nakano, T., ... Suzuki, M. (1995). Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle. Kyobu geka. The Japanese journal of thoracic surgery, 48(8), 606-610.

Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle. / Kado, H.; Shiokawa, Y.; Asou, T.; Imoto, Y.; Miyake, Y.; Nakano, T.; Yasuda, H.; Imasaka, K.; Suzuki, M.

:: Kyobu geka. The Japanese journal of thoracic surgery, 巻 48, 番号 8, 07.1995, p. 606-610.

研究成果: ジャーナルへの寄稿記事

Kado, H, Shiokawa, Y, Asou, T, Imoto, Y, Miyake, Y, Nakano, T, Yasuda, H, Imasaka, K & Suzuki, M 1995, 'Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle', Kyobu geka. The Japanese journal of thoracic surgery, 巻. 48, 番号 8, pp. 606-610.
Kado, H. ; Shiokawa, Y. ; Asou, T. ; Imoto, Y. ; Miyake, Y. ; Nakano, T. ; Yasuda, H. ; Imasaka, K. ; Suzuki, M. / Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle. :: Kyobu geka. The Japanese journal of thoracic surgery. 1995 ; 巻 48, 番号 8. pp. 606-610.
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abstract = "From 1988 through 1994, 18 patients who had common atrioventricular valve regurgitation associated with single ventricle underwent valvuloplasty. All patients had isomerism heart (right isomerism: 16, left isomerism: 2). The preoperative degree of regurgitation was 3.3 +/- 0.4 (Sellers). Valvuloplasty was performed by two different procedures. Semi-circular annuloplasty was used in nine patients. Dividing the common atrioventricular valve orifice into two parts (bivalvation) with or without annuloplasty was used in nine. The concomitant procedures varied: three patients underwent systemic pulmonary shunt, two underwent repair of total anomalous pulmonary venous drainage, one underwent pulmonary arterial banding, five underwent bidirectional Glenn, shunt, and four underwent Fontan operation. One early death and three late deaths have occurred. The early postoperative degree of regurgitation was reduced to 1.3 +/- 1.0. In nine patients, however, the degree of regurgitation increased late postoperatively. Seven patients were reoperated on because of regurgitation: three patients had valve replacement and four had reannuloplasty. Increased incidence of deterioration of regurgitation in late period was seen in patients under 2 years old and those receiving a concomitant Blalock shunt. Lower event-free rate after 2 years was seen in patients with double inlet right or indeterminate ventricle and those underwent the annuloplasty alone. We conclude that the dividing common atrioventricular valve orifice into two parts with annuloplasty could effectively reduce the regurgitation in most patients with isomerism heart, and the concomitant ventricular unloading operation seems to offer promise for improving long-term results.",
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AU - Kado, H.

AU - Shiokawa, Y.

AU - Asou, T.

AU - Imoto, Y.

AU - Miyake, Y.

AU - Nakano, T.

AU - Yasuda, H.

AU - Imasaka, K.

AU - Suzuki, M.

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