Atrioventricular discordance: Results of repair in 127 patients

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Presentation transcript:

Atrioventricular discordance: Results of repair in 127 patients Thomas Yeh, MD, PhDd, Michael S. Connelly, MDc, John G. Coles, MDa, Gary D. Webb, MDc, Peter R. McLaughlin, MDc, Robert M. Freedom, MDb, Patricia B. Cerrito, PhD e, William G. Williams, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 117, Issue 6, Pages 1190-1203 (June 1999) DOI: 10.1016/S0022-5223(99)70259-X Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 Associated lesions in AV discordance (n = 127). Venn diagram depicting the overlap between the 3 most common associated lesions of AV discordance: VSD, PS, and TI. The total percentage of each associated lesion is indicated in parentheses. The numbers of patients with every possible combination of lesions is indicated by the numbers within the intersecting lines. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 A, Cumulative frequency of ages at which patients underwent biventricular repair for lesions associated with AV discordance. Entire cohort. B, Cumulative frequency of ages at which patients underwent biventricular repair for lesions associated with AV discordance. Subset analysis of major diagnostic groups. Patients with isolated VSDs underwent repair earliest at a mean age of 3.5 years. Those with tricuspid valve regurgitation (TVR ) required surgery at a median age of 16.6 years. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 A, Kaplan-Meier survival of patients with AV discordance. Survival of the entire cohort (n = 127) from date of initial repair. B, Kaplan-Meier survival of patients with AV discordance. Survival of the entire cohort from date of birth. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3C Kaplan-Meier survival of patients with AV discordance. Survival of cohort from date of initial repair analyzed by major diagnostic group, that is, VSD only (n = 17), VSD-PS (n = 72), VSD-TVR (n = 14), and TVR only (n = 13). TVR, Tricuspid valve regurgitation. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 4A, Freedom from reoperation in AV discordance. Entire cohort Fig. 4A, Freedom from reoperation in AV discordance. Entire cohort. B, Freedom from reoperation in AV discordance. Separation by original diagnosis. Since death precluded reoperation, freedom from reoperation and freedom from death are depicted; otherwise, freedom from reoperation alone was misleadingly high. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 5 Freedom from tricuspid valve (TV) surgery in AV discordance. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 6 Freedom from pulmonary conduit replacement in AV discordance. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 7 Freedom from pacemaker placement in AV discordance. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1190-1203DOI: (10.1016/S0022-5223(99)70259-X) Copyright © 1999 Mosby, Inc. Terms and Conditions