Twenty-two patients of atrioventricular septal defect repair with prosthetic valve ring implantation: A retrospective cohort study in a single center
- VernacularTitle:房室间隔缺损矫治伴人工瓣环植入22例的单中心回顾性队列研究
- Author:
Zeyang YAO
1
,
2
,
3
;
Wen XIE
1
,
2
,
3
;
Zewen CHEN
3
,
4
;
Erchao JI
1
,
2
,
3
;
Xiaowei XU
3
,
4
;
Tao LIU
5
;
Shusheng WEN
3
,
4
;
Gang XU
3
,
4
;
Jian ZHUANG
1
,
2
,
3
Author Information
1. 1. Department of Cardiovascular Surgery, School of Medicine, South China University of Technology, Guangzhou, 510080, P. R. China
2. 2. Guangdong Provincial People'
3. s Hospital, Guangdong Academy of Medical Sciences, Guangdong Institute of Cardiovascular Disease, Guangzhou, 510080, P. R. China
4. Guangdong Provincial People'
5. Department of Biostatistics, Center for Statistical Sciences, School of Public Health, Brown University, Providence, 02912, USA
- Publication Type:Journal Article
- Keywords:
Atrioventricular septal defect;
valve regurgitation;
prosthetic valve ring;
retrospective study
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(10):1362-1366
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the characteristics of patients who underwent atrioventricular septal defects (AVSD) repair with prosthetic valve ring implantation in our hospital, and to analyze the safety and effectiveness of this intervention. Methods The clinical data of all patients diagnosed with AVSD who received surgery repair and prosthetic valve ring implantation from January 1, 2018 to July 12, 2020 in Guangdong Provincial People's Hospital were collected and analyzed. There were 22 patients with 9 males and 13 females at a median age of 35.00 (14.10, 53.00) years. There were 9 (40.9%) patients with prosthetic half or full rings placed on the left atrioventricular valve and 18 (81.8%) patients with prosthetic half or full rings placed on the right atrioventricular valve. Results The median postoperative hospital stay was 7.00 (6.00, 8.80) d, and the postoperative mechanically assisted ventilation time was 11.00 (6.25, 19.00) h. There were 2 (9.1%) patients of moderate or higher postoperative atrioventricular valve regurgitation, 1 on the left and 1 on the right. There was one patient (4.5%) of the postoperative residual septal defect. There was no left ventricular inflow or outflow tract obstruction and no postoperative residual atrial septal defect during the follow-up of 152.00 (124.00, 1 030.00) d. Conclusion Implantation of a prosthetic ring is safe and effective in patients with AVSD, and the structural strength of the ring may be improved after the implantation. The physiological development of the AVSD annulus after prosthetic ring implantation and the results of long-term follow-up needs further attention.
