Results for repair of 28 cases of endocardial cushion defects combined with double-orifice mitral valve
10.3760/cma.j.issn.1001-4497.2010.01.002
- VernacularTitle:合并双孔二尖瓣的心内膜垫缺损外科手术28例
- Author:
Xiangming FAN
;
Yinglong LIU
;
Jun YAN
;
Shoujun LI
;
Xiangdong SHEN
- Publication Type:Journal Article
- Keywords:
Endocardial cushion defects;
Cardiac surgical procedures;
Double-orifice mitral valve
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2010;26(1):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the surgical results of 28 cases of endecardial cushion defect combined with double-ori-rice mitral valve. Methods Of 860 consecutive patients with endocardial cushion defect, double-orifice mitral valve was iden-tiffed in 28 patients (3.26% ) form October 1996 to November 2007. Intracardiac deformities were corrected simultaneously during the operation. Preoperative mitral valve function, surgical procedures and incidence of pestoperative mitral valve dys-function were reviewed and compared between patients with total endecardial cushion defect ( group Ⅰ, n = 11 ) and partial en-docardial cushion defect ( group Ⅱ, n = 17). Results There were 4 operative deaths in group Ⅰ caused by severe pulmonary inflammation in 3 cases and low cardiac output in 1 case. Two cases were identified as severe mitral valve dysfunction or steao-sis in reoperaticu or autopsy. There was no later death. Mitral valve function is not eatisfactory in group Ⅱ as compared with group Ⅰ in 3 to 89 months of follow-up( averaging 33 months). Conclusion Double-orifice mitral valve is a high risk factor for operative death in total endocardial cushion defect and the longer term results of partial endocardial cushion defect combined with double-orifice mitral valve is not satisfactory.
