Modified single versus double-patch technique for the repair of complete atrioventricular septal defect

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dc.authorid0000-0001-7478-6235
dc.contributor.authorYıldırım, Özgür
dc.contributor.authorAvşar, Mustafa Kemal
dc.contributor.authorÖzyüksel, Arda
dc.contributor.authorAkdemir, Mehmet
dc.contributor.authorZeybek, Cenap
dc.contributor.authorDemiroluk, Şener
dc.contributor.authorBilal, Mehmet Salih
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:57:33Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:57:33Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000357323600012
dc.descriptionPubMed ID: 25940208
dc.description.abstractObjectivesWe present our single center results of two commonly used surgical techniques, the modified single-patch and double-patch technique for the repair of the complete atrioventricular septal defect. MethodsWe enrolled 49 patients with complete atrioventricular septal defect who were operated by a single surgeon between 2004 and 2014. The modified single-patch technique was performed in 32 cases (group S), whereas the defect was repaired with the double-patch technique in 17 patients (group D). ResultsThe mean age at the time of operation was 7.78.6 (range 1-48) months and 9.9 +/- 12.5 (range 1.5-48) months, in groups S and D, respectively. Mean body weight was 6.7 +/- 3 (range 3.5-15.5) kilograms and 7.2 +/- 3.8 (range 4.3-14.5) kilograms in groups S and D, respectively. Cross-clamp and cardiopulmonary bypass times were shorter in the modified single-patch group (65.6 +/- 16.3 vs. 98.7 +/- 19.8 minutes, p=0.0001; 88.9 +/- 23.3 vs. 128.9 +/- 28.0 minutes, p=0.0001). Postoperative atrioventricular valve function was improved in both groups. Mean follow-up period was 4.4 +/- 3.2 (range 1.2-9.9) years. One patient in each group underwent reoperation for left atrioventricular valve insufficiency. We encountered two early and one late mortalities in modified single-patch group. One early mortality was experienced in the unmodified group. ConclusionsThe modified single-patch and two-patch techniques have comparable results; however, the modified single-patch technique is performed with significantly shorter cross-clamp and cardiopulmonary bypass times, therefore we have adopted this technique on a routine basis for the treatment of the complete atrioventricular septal defect in our institute.
dc.identifier.citationYıldırım, Ö., Avşar, M. K., Özyüksel, A., Akdemir, M., Zeybek, C., Demiroluk, Ş. ve Bilal, M. S. (2015). Modified single versus double-patch technique for the repair of complete atrioventricular septal defect. Journal of Cardiac Surgery, 30(7), 595-600. https://dx.doi.org/10.1111/jocs.12557
dc.identifier.doi10.1111/jocs.12557
dc.identifier.endpage600
dc.identifier.issn0886-0440
dc.identifier.issn1540-8191
dc.identifier.issue7
dc.identifier.scopusqualityQ2
dc.identifier.startpage595
dc.identifier.urihttps://dx.doi.org/10.1111/jocs.12557
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3000
dc.identifier.volume30
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Cardiac Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectModified Single
dc.subjectRepair of Complete
dc.subjectSeptal Defect
dc.titleModified single versus double-patch technique for the repair of complete atrioventricular septal defect
dc.typeArticle

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