Endocardial cushion defect surgery: Difference between revisions
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Aditya Ganti (talk | contribs) (Created page with "__NOTOC__ {{Xyz}} {{CMG}}; {{AE}} {{ADG}} ==Overview== Surgical intervention is not recommended for the management of [disease name]. OR Surgery is not the first-line treat...") |
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__NOTOC__ | __NOTOC__ | ||
{{ | {{Endocardial cushion defect}} | ||
{{CMG}}; {{AE}} {{ADG}} | {{CMG}}; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery. | |||
==Surgery== | ==Surgery== | ||
*The | *The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery. | ||
*The intra-operative mortality rate is 3%, and the 10-year survival rate is more than 90%.<ref name="pmid11722055">{{cite journal |vauthors=Crawford FA, Stroud MR |title=Surgical repair of complete atrioventricular septal defect |journal=Ann. Thorac. Surg. |volume=72 |issue=5 |pages=1621–8; discussion 1628–9 |date=November 2001 |pmid=11722055 |doi=10.1016/s0003-4975(01)03170-8 |url=}}</ref><ref name="pmid29224269">{{cite journal |vauthors=Cui HJ, Zhuang J, Chen JM, Cen JZ, Xu G, Wen SS |title=[Surgical treatment and early-mid follow-up results of complete atrioventricular septal] |language=Chinese |journal=Zhonghua Wai Ke Za Zhi |volume=55 |issue=12 |pages=933–937 |date=December 2017 |pmid=29224269 |doi=10.3760/cma.j.issn.0529-5815.2017.12.011 |url=}}</ref> | |||
* | |||
== | |||
{| class="wikitable" | |||
|+ | |||
!Type of Defect | |||
!Recommened | |||
!Surgical Procedure | |||
|- | |||
|Complete AV canal defect (CAVC) | |||
|Surgical intervention for most patients with CAVC by six months of age | |||
| | |||
* Single-patch repair | |||
* Two-patch repair. | |||
* Modified (simplified) single-patch repair | |||
|- | |||
|Partial and transitional AV canal defect | |||
|Surgical repair is recommended in childhood as these patients are at risk for atrial fibrillation and heart failure later in life. | |||
| | |||
* Patch closure of the ostium primum defect | |||
* Mitral valvuloplasty | |||
|- | |||
|Unbalanced lesion | |||
| | |||
| | |||
* Single ventricle palliation | |||
|} | |||
<br /> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 21:44, 5 June 2020
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Endocardial cushion defect Microchapters |
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Differentiating Endocardial cushion defect from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Endocardial cushion defect surgery On the Web |
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American Roentgen Ray Society Images of Endocardial cushion defect surgery |
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Risk calculators and risk factors for Endocardial cushion defect surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery.
Surgery
- The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery.
- The intra-operative mortality rate is 3%, and the 10-year survival rate is more than 90%.[1][2]
| Type of Defect | Recommened | Surgical Procedure |
|---|---|---|
| Complete AV canal defect (CAVC) | Surgical intervention for most patients with CAVC by six months of age |
|
| Partial and transitional AV canal defect | Surgical repair is recommended in childhood as these patients are at risk for atrial fibrillation and heart failure later in life. |
|
| Unbalanced lesion |
|
References
- ↑ Crawford FA, Stroud MR (November 2001). "Surgical repair of complete atrioventricular septal defect". Ann. Thorac. Surg. 72 (5): 1621–8, discussion 1628–9. doi:10.1016/s0003-4975(01)03170-8. PMID 11722055.
- ↑ Cui HJ, Zhuang J, Chen JM, Cen JZ, Xu G, Wen SS (December 2017). "[Surgical treatment and early-mid follow-up results of complete atrioventricular septal]". Zhonghua Wai Ke Za Zhi (in Chinese). 55 (12): 933–937. doi:10.3760/cma.j.issn.0529-5815.2017.12.011. PMID 29224269.