A mitralis billentyű sebészete atrioventricularis septumdefektusban [Mitral valve surgery in the treatment of atrioventricular septal defect]

Hartyánszky, István and Bogáts, Gábor (2021) A mitralis billentyű sebészete atrioventricularis septumdefektusban [Mitral valve surgery in the treatment of atrioventricular septal defect]. ORVOSI HETILAP, 162 (35). pp. 1397-1401. ISSN 0030-6002

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Abstract

The critical point of the atrioventricular septal defect correction is to separate the common atrioventricular orifice, which results in the reconstruction of the mitral valve. The success of the correction depends on many anatomical aspects, therefore a perfect anatomical outcome is not always possible. The remaining valvular stenoses and regurgitations, showing progression at a later age, may result in hemodynamic disorders and circulatory insufficiency that may require further interventions. Mitral valve disease associated with atrioventricular septal defect occurs at all ages from preterm to adulthood, requiring different surgical solutions. The authors detail the possible and necessary surgical solutions and surgical challenges at different ages. In addition to the classic surgical solutions, a significant number of catheter interventional and hybrid solutions are emerging as new interventions in the replacement of the mitral valve with an artificial valve. An increasing number of patients living in adulthood require increased attention and special care from cardiologists and cardiac surgeons.

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