Abstract:
:Patients presenting with partial atrioventricular septal (PAVC) defects in adulthood are rare. Eight adult patients with this congenital heart defect who had surgical repair are described, along with their long-term postoperative follow-up data. Average age at operation was 48 years, and average follow-up was 13.4 years. There was no operative mortality. All but one patient were in NYHA functional class 1 or 2 postoperatively. Three patients had suffered late onset of progressive mitral regurgitation leading to severe congestive heart failure 15 to 25 years postoperatively. The number of adult patients with repaired PAVC defects who have eventual mitral valve deterioration may be higher than estimated in the current literature. Because of the unpredictability of mitral valve function, lifelong follow-up should be stressed in these patients.
journal_name
Chestjournal_title
Chestauthors
Barnett MG,Chopra PS,Young WPdoi
10.1378/chest.94.2.321subject
Has Abstractpub_date
1988-08-01 00:00:00pages
321-4issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(16)33451-1journal_volume
94pub_type
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