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
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 |
|
| 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
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.
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