Correzione chirurgica del canale atrioventricolare senza cateterismo cardiaco.

Translated title of the contribution: Surgical correction of atrioventricular canal without heart catheterization

A. Giamberti, B. Marino, P. Guccione, L. Pasquini, F. Iorio, A. Corno, G. De Simone, C. Marcelletti

Research output: Contribution to journalArticlepeer-review

Abstract

In our department, 35 patients with atrioventricular canal underwent elective surgery between June 1983 and May 1989. The diagnosis was based on clinical and echocardiographic assessment without cardiac catheterization. Nineteen patients (age 2-12 years; mean 6.6 years) had a partial atrioventricular canal and 16 (age 5-8 months; mean 7 months) presented a complete atrioventricular canal. The echocardiographic diagnosis was confirmed at surgery in all but one patient (2.8%). The latter was diagnosed as having a complete canal but at surgery a transitional canal with a restrictive ventricular septal defect was found. We based our patient selection on the natural history which excluded cases with early heart failure and pulmonary hypertension. We also relied on an accurate morphological study using two-dimensional echocardiography which excluded cases with associated cardiac malformations. Our recent experience (1986-1989) showed that 50% of the patients with complete canal and 60% of patients with partial canal underwent surgery without cardiac catheterization.

Translated title of the contributionSurgical correction of atrioventricular canal without heart catheterization
Original languageItalian
Pages (from-to)144-147
Number of pages4
JournalGiornale Italiano di Cardiologia
Volume20
Issue number2
Publication statusPublished - Feb 1990

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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