Surgical Techniques of Atrioventricular Valve Insufficiency in Patients with Single Ventricle_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIXiao-hua , GAOQiang ,  CHENJi-mei

Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangzhou 510080, P. R. China;

Corresponding author：

CHENJi-mei, Email: jimei@hotmail.com

Keywords：

Single ventricle; Atrioventricular valve insufficiency; Surgical Technique

DOI：

10.7507/1007-4848.20160218

Video：

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Significant atrioventricular valve (AVV) insufficiency has been associated with increased mortality and morbidity in patients with single ventricle. Although techniques such as annuloplasty, chordal elongation, and the use of pericardial patches can improve AVV function in many patients, a number of patients continue to have significant AVV insufficiency and may require AVV replacement. The present review made a comprehensive literature review concerning the outcome, optimal timing, key points of technique skills and prognosis evaluation.

Citation： LIXiao-hua, GAOQiang, CHENJi-mei. Surgical Techniques of Atrioventricular Valve Insufficiency in Patients with Single Ventricle. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 912-915. doi: 10.7507/1007-4848.20160218 Copy

1.	Moak JP, Gersony WM. Progressive atrioventricular valvular regurgitation in single ventricle. Am J Cardiol, 1987, 59(6):656-658.
2.	Garnreiter JM, Tani LY, Weng HY, et al. Atrioventricular valve regurgitation at diagnosis in single-ventricle patients:does it affect longitudinal outcomes?. Cardiol Young, 2014, 24(5):813-821.
3.	Rydberg A, BarAm S, Teien DE, et al. The abnormal contralateral atrioventricular valve in mitral and tricuspid atresia in neonates:an echocardiographic study. Pediatr Cardiol, 1999, 20(3):200-202.
4.	Yurlov IA, Podzolkov VP, Zelenikin MM, et al. Experience with bidirectional cavopulmonary anastomosis and modified Fontan operation in patients with single ventricle and concomitant visceral heterotaxy. Interact Cardiovasc Thorac Surg, 2011, 12(4):563-568.
5.	Schwartz SM, Lu M, Ohye RG, et al. Risk factors for prolonged length of stay after the stage 2 procedure in the single-ventricle reconstruction trial. J Thorac Cardiovasc Surg, 2014, 147(6):1791-1798.
6.	Kotani Y, Chetan D, Atlin CR, et al. Longevity and durability of atrioventricular valve repair in single-ventricle patients. Ann Thorac Surg, 2012, 94(6):2061-2069.
7.	Honjo O, Atlin CR, Mertens L, et al. Atrioventricular valve repair in patients with functional single-ventricle physiology:Impact of ventricular and valve function and morphology on survival and reintervention. J Thorac Cardiovasc Surg, 2011, 142(2):326-335.
8.	Honjo O, Mertens L, Van Arsdell GS. Atrioventricular valve repair in patients with single-ventricle physiology:mechanisms, techniques of repair, and clinical outcomes. Semin Thorac Cardiovasc Surg:Pediatr Card Surg Ann, 2011, 14(1):75-84.
9.	Kwak JG, Park CS, Lee CH, et al. Early surgical correction of atrioventricular valvular regurgitation in single-ventricle patients. Ann Thorac Surg, 2010, 90(4):1320-1323.
10.	Yamagishi S, Masuoka A, Uno Y, et al. Influence of bidirectional cavopulmonary anastomosis and concomitant valve repair on atrioventricular valve annulus and function. Ann Thorac Surg, 2014, 98(2):641-647.
11.	Tlaskal T, Chaloupecky V, Reich O, et al. Complex plasty of the atrioventricular valve in defects with a functional single ventricle——surgical technic and midterm results. Rozhl Chir, 2002, 81(5):223-229.
12.	蒋连勇, 丁芳宝, 张俊文, 等.单心室瓣膜反流的外科治疗.中国胸心血管外科临床杂志, 2013, 20(4):387-391.
13.	岑坚正, 庄建, 陈寄梅, 等.单心室外科治疗中房室瓣反流的处理.中华胸心血管外科杂志, 2014, 30(4):199-202.
14.	Gil-Jaurena JM, González-López MT, Pérez-Caballero R, et al. Atrioventricular valve repair along with Fontan completion. Cardiol Young, 2015, 25(7):1421-1424.
15.	Vijarnsorn C, Khoo NS, Tham EB, et al. Increased common atrioventricular valve tenting is a risk factor for progression to severe regurgitation in patients with a single ventricle with unbalanced atrioventricular septal defect. J Thorac Cardiovasc Surg, 2014, 148(6):2580-2588.
16.	Naito Y, Hiramatsu T, Kurosawa H, et al. L Long-term results of modified Fontan operation for single-ventricle patients associated with atrioventricular valve regurgitation. Ann Thorac Surg, 2013, 96(1):211-218.
17.	Tatsuno K, Kikuchi T, Takahashi Y, et al. Valvulo-annuloplasty for atrioventricular valvular regurgitation in univentricular heart and double outlet right ventricle. Nihon Kyobu Geka Gakkai Zasshi, 1994, 42(11):2075-2080.
18.	Ando M, Takahashi Y. Edge-to-edge repair of common atrioventricular or tricuspid valve in patients with functionally single ventricle. Ann Thorac Surg, 2007, 84(5):1571-1577.
19.	Mahle WT, Gaynor JW, Spray TL. Atrioventricular valve replacement in patients with a single ventricle. Ann Thorac Surg, 2001, 72 (1):182-186.
20.	Wong DJ, Iyengar AJ, Wheaton GR, et al. Long-term outcomes after atrioventricular valve operations in patients undergoing single-ventricle palliation. Ann Thorac Surg, 2012, 94(2):606-613.
21.	Laux D, Vergnat M, Lambert V, et al. Atrio-ventricular valve regurgitation in univentricular hearts:outcomes after repair. Interact Cardiovasc Thorac Surg, 2015, 20(5):622-630.

1. Moak JP, Gersony WM. Progressive atrioventricular valvular regurgitation in single ventricle. Am J Cardiol, 1987, 59(6):656-658.
2. Garnreiter JM, Tani LY, Weng HY, et al. Atrioventricular valve regurgitation at diagnosis in single-ventricle patients:does it affect longitudinal outcomes?. Cardiol Young, 2014, 24(5):813-821.
3. Rydberg A, BarAm S, Teien DE, et al. The abnormal contralateral atrioventricular valve in mitral and tricuspid atresia in neonates:an echocardiographic study. Pediatr Cardiol, 1999, 20(3):200-202.
4. Yurlov IA, Podzolkov VP, Zelenikin MM, et al. Experience with bidirectional cavopulmonary anastomosis and modified Fontan operation in patients with single ventricle and concomitant visceral heterotaxy. Interact Cardiovasc Thorac Surg, 2011, 12(4):563-568.
5. Schwartz SM, Lu M, Ohye RG, et al. Risk factors for prolonged length of stay after the stage 2 procedure in the single-ventricle reconstruction trial. J Thorac Cardiovasc Surg, 2014, 147(6):1791-1798.
6. Kotani Y, Chetan D, Atlin CR, et al. Longevity and durability of atrioventricular valve repair in single-ventricle patients. Ann Thorac Surg, 2012, 94(6):2061-2069.
7. Honjo O, Atlin CR, Mertens L, et al. Atrioventricular valve repair in patients with functional single-ventricle physiology:Impact of ventricular and valve function and morphology on survival and reintervention. J Thorac Cardiovasc Surg, 2011, 142(2):326-335.
8. Honjo O, Mertens L, Van Arsdell GS. Atrioventricular valve repair in patients with single-ventricle physiology:mechanisms, techniques of repair, and clinical outcomes. Semin Thorac Cardiovasc Surg:Pediatr Card Surg Ann, 2011, 14(1):75-84.
9. Kwak JG, Park CS, Lee CH, et al. Early surgical correction of atrioventricular valvular regurgitation in single-ventricle patients. Ann Thorac Surg, 2010, 90(4):1320-1323.
10. Yamagishi S, Masuoka A, Uno Y, et al. Influence of bidirectional cavopulmonary anastomosis and concomitant valve repair on atrioventricular valve annulus and function. Ann Thorac Surg, 2014, 98(2):641-647.
11. Tlaskal T, Chaloupecky V, Reich O, et al. Complex plasty of the atrioventricular valve in defects with a functional single ventricle——surgical technic and midterm results. Rozhl Chir, 2002, 81(5):223-229.
12. 蒋连勇, 丁芳宝, 张俊文, 等.单心室瓣膜反流的外科治疗.中国胸心血管外科临床杂志, 2013, 20(4):387-391.
13. 岑坚正, 庄建, 陈寄梅, 等.单心室外科治疗中房室瓣反流的处理.中华胸心血管外科杂志, 2014, 30(4):199-202.
14. Gil-Jaurena JM, González-López MT, Pérez-Caballero R, et al. Atrioventricular valve repair along with Fontan completion. Cardiol Young, 2015, 25(7):1421-1424.
15. Vijarnsorn C, Khoo NS, Tham EB, et al. Increased common atrioventricular valve tenting is a risk factor for progression to severe regurgitation in patients with a single ventricle with unbalanced atrioventricular septal defect. J Thorac Cardiovasc Surg, 2014, 148(6):2580-2588.
16. Naito Y, Hiramatsu T, Kurosawa H, et al. L Long-term results of modified Fontan operation for single-ventricle patients associated with atrioventricular valve regurgitation. Ann Thorac Surg, 2013, 96(1):211-218.
17. Tatsuno K, Kikuchi T, Takahashi Y, et al. Valvulo-annuloplasty for atrioventricular valvular regurgitation in univentricular heart and double outlet right ventricle. Nihon Kyobu Geka Gakkai Zasshi, 1994, 42(11):2075-2080.
18. Ando M, Takahashi Y. Edge-to-edge repair of common atrioventricular or tricuspid valve in patients with functionally single ventricle. Ann Thorac Surg, 2007, 84(5):1571-1577.
19. Mahle WT, Gaynor JW, Spray TL. Atrioventricular valve replacement in patients with a single ventricle. Ann Thorac Surg, 2001, 72 (1):182-186.
20. Wong DJ, Iyengar AJ, Wheaton GR, et al. Long-term outcomes after atrioventricular valve operations in patients undergoing single-ventricle palliation. Ann Thorac Surg, 2012, 94(2):606-613.
21. Laux D, Vergnat M, Lambert V, et al. Atrio-ventricular valve regurgitation in univentricular hearts:outcomes after repair. Interact Cardiovasc Thorac Surg, 2015, 20(5):622-630.

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