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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Endocardial cushion defect surgery

Introduction

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 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
  • 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
References

References

  1. ↑ 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.
  2. ↑ 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.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]