Andersons pediatric cardiology 823
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FridC,BjörkhemG,JonzonA,etal.Long-term
survivalinchildrenwithatrioventricularseptal
defectandcommonatrioventricularorificein
Sweden.CardiolYoung.2004;14:24–31.
Withamaximumfollow-upof28years,thisisthe
longestcomprehensivefollow-upofaseriesof
patientsundergoingsurgeryforallformsof
atrioventricularseptaldefect.The20-year
survivalof61%obviouslyreflectsoldersurgical
andmedicaltechniques,butthedecreasingslope
ofthesurvivalcurveisacomforting
observation..
KarlTR,ProvenzanoCJ,NunnGR,AndersonRH.
Thecurrentsurgicalperspectivetorepairof
atrioventricularseptaldefectwithcommon
atrioventricularjunction.CardiolYoung.
2010;20(Suppl.3):120–127.
Oneoftheveryfewpapersindicatinganything
aboutlongerthanshort-termresultsofdirect
suturingofthebridgingleafletstothe
ventricularseptalcrest.Inacohortofover100
patients,operativemortalitywasreportedtobe
1.6%.Overameanfollow-upof7.1years
(standarddeviation3.5years),therewerethree
reoperations,ofwhichnonewereforleft
ventricularoutflowtractobstruction..
KaskiJP,WolfendenJ,JosenM,etal.Can
atrioventricularseptaldefectexistwithintact
septalstructures?Heart.2006;92:832–835.
Afterisolatedreportsofheartsdisplayingall
featuresofatrioventricularseptaldefectwith
paradoxicallyintactseptalstructures,thiswas
thefirstpapertoaddressthisphenomenonfrom
theclinicalstance.Manymoreofthesepatients
mustexist,albeitbeingunrecognizedassuch,
possiblydisplayingonlysomedegreeofleft
valvarregurgitation.Someofthesepatientsmay
alsohaveheartswithoutanyfunctionaldefect..
KogonBE,ButlerH,McConnellM,etal.Whatis
theoptimaltimetorepairatrioventricularseptal
defectandcommonatrioventricularvalvar
orifice?CardiolYoung.2007;17:356–359.
Theissueoftimingofoperationfor
atrioventricularseptaldefectwithunrestricted
ventricularshuntiswelladdressedinthispaper.
Theauthorsconvincinglydemonstratethat
operationbeforetheageof6monthsisnow
possiblewithlowmortality,albeitatthecostof
highermorbidityandahigherincidenceof
complications..
MahleWT,ShiraliGD,AndersonRH.Echomorphologicalcorrelatesinpatientswith
atrioventricularseptaldefectandcommon
atrioventricularjunction.CardiolYoung.
2006;16(Suppl3):43–51.
Thispaperdescribeswellhowtheanatomyof
atrioventricularseptaldefectcanbevisualized
byvariousechocardiographicplanes,
emphasizingtheirlimitations.Italsointroduces
thepotentialvalueofthree-dimensional
echocardiography..
NajmHK,VanArsdellGS,WatzkaS,etal.
Primaryrepairissuperiortoinitialpalliationin
childrenwithatrioventricularseptaldefectand
tetralogyoffallot.JThoracCardiovascSurg.
1998;116:905–913.
ThegroupfromTorontopresentsananalysisofthe
largestseriesofpatientswiththecombinationof
atrioventricularseptaldefectandtetralogyof
Fallot.Theirevidenceshowsthatprimaryrepair
isthepreferredsurgicaloption..
SojakV,KooijM,YazdabakhshA,etal.Asinglecentre37-yearexperiencewithreoperationafter
primaryrepairofatrioventricularseptaldefect.
EurJCardiothorSurg.2016;49:538–545.
Anexcellentoverviewoflong-termexperienceand
thereoperationsthataretobeexpectedafter
atrioventricularseptaldefectrepair.Theleft
atrioventricularvalveremainsthemajor
indicationforreoperations,anditrequires
detailedanatomicexpertisetodealwiththese
