H. Miyamura et al., TOTAL CIRCULAR ANNULOPLASTY WITH ABSORBABLE SUTURE FOR THE REPAIR OF LEFT ATRIOVENTRICULAR VALVE REGURGITATION IN ATRIOVENTRICULAR SEPTAL-DEFECT, Journal of thoracic and cardiovascular surgery, 107(6), 1994, pp. 1428-1431
To obtain a better control of left atrioventricular valve regurgitatio
n, we applied total circular annuloplasty with the use of absorbable s
utures to 14 children with atrioventricular septal defect (six complet
e forms and eight incomplete forms). In the intraoperative period, a g
ood coaptation of the leaflets was achieved and the regurgitation was
minimized or disappeared. Follow-up studies with echocardiography for
13 survivors showed a gradual increase of annular size during the post
operative period. Ten patients of the survivor group (77%) maintained
good valvular competency in a long-term period. Total circular annulop
lasty is a simple and effective procedure to reduce the regurgitation
and prevent the annular dilatation during the immediate postoperative
period.