Long-Term Outcomes of External Repair as a Rescue Operation for Atrioventricular Groove Disruption

• Published in: The Annals of thoracic surgery Vol. 103; no. 2; pp. 491 - 496
• Main Authors: Dobrilovic, Nikola, MD, Raman, Jaishankar, MD, PhD, Fingleton, James G., MD, Maslow, Andrew, MD, Singh, Arun K., MD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.02.2017
• Subjects: Academic Medical Centers; Aged; Aged, 80 and over; Cardiopulmonary Bypass - methods; Cardiopulmonary Bypass - mortality; Cardiothoracic Surgery; Cause of Death; Databases, Factual; Extracorporeal Membrane Oxygenation - methods; Extracorporeal Membrane Oxygenation - mortality; Female; Follow-Up Studies; Heart Atria - injuries; Heart Atria - surgery; Heart Valve Prosthesis Implantation - adverse effects; Heart Valve Prosthesis Implantation - methods; Heart Ventricles - injuries; Heart Ventricles - surgery; Hospital Mortality; Humans; Male; Middle Aged; Minimally Invasive Surgical Procedures - methods; Mitral Valve Insufficiency - surgery; Mitral Valve Stenosis - surgery; Postoperative Complications - physiopathology; Postoperative Complications - surgery; Reoperation - methods; Reoperation - mortality; Retrospective Studies; Risk Assessment; Surgery; Survival Analysis; Treatment Outcome

Background Atrioventricular groove disruption (AVGD) is an uncommon but lethal complication of mitral valve operations associated with mortality approaching 90%. Traditionally, an “internal” repair is performed requiring prosthesis explantation, complete atrioventricular groove reconstruction using...