Patient selection for repair of complete atrioventricular canal guided by echocardiography

G. Santoro, B. Marino, D. Di Carlo, R. Formigari, G. Santoro, C. Marcelletti, L. Pasquini

Research output: Contribution to journalArticle

Abstract

Objective. Two-dimensional, Doppler and color-flow echocardiography is accepted as a safe diagnostic tool to guide the surgical treatment of certain congenital heart defects. Its role for surgical indication in patients with complete atrioventricular canal (cAVC) is described in this paper. Methods. Between July 1989 and January 1995, 80 patients with cAVC underwent primary repair in our Institution. In 73 surgery was guided only by echocardiography (Group I), while in the remaining 7 patients (Group II) cardiac catheterization was performed because of unclear diagnosis and/or suspected associated malformations. Results. Echoeardiography showed an overall sensitivity of 100% and specificity of 93% in detecting associated malformations. Discussion. Based on these data and on the knowledge of the natural history of pulmonary vascular changes in patients with cAVC we think that echocardiography might be adequate for selection of infants with uncomplicated forms of cAVC for primary repair.

Original languageEnglish
Pages (from-to)439-442
Number of pages4
JournalEuropean Journal of Cardio-thoracic Surgery
Volume10
Issue number6
Publication statusPublished - 1996

Keywords

  • Complete atrioventricular canal
  • Echo-guided pediatric cardiac surgery
  • Echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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    Santoro, G., Marino, B., Di Carlo, D., Formigari, R., Santoro, G., Marcelletti, C., & Pasquini, L. (1996). Patient selection for repair of complete atrioventricular canal guided by echocardiography. European Journal of Cardio-thoracic Surgery, 10(6), 439-442.