Journal article

Early repair of complete atrioventricular septal defect has better survival than staged repair after pulmonary artery banding: A propensity score-matched study

Edward Buratto, Thomas Hu, Adrienne Lui, Damien M Wu, Yves D'Udekem, Christian P Brizard, Igor E Konstantinov

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | MOSBY-ELSEVIER | Published : 2021

Abstract

OBJECTIVES: Complete atrioventricular septal defect (cAVSD) repair is usually performed between 3 and 6 months of age. However, some children present with early heart failure requiring intervention. It is unclear whether primary complete repair or initial pulmonary artery banding (PAB) provides better outcomes. METHODS: All patients (n = 194) who underwent surgery for cAVSD younger than 3 months of age between 1990 and 2019 were included. Propensity score matching was performed on risk factors for mortality. RESULTS: Primary complete repair was performed in 77.8% (151/194), whereas PAB was performed in 22.2% (43/194). Children who had PAB were younger (P < .01), had lower weight (P < .001), ..

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Grants

Awarded by Australian Government Research Training Program Scholarship


Awarded by National Health and Medical Research Council Clinician Practitioner Fellow


Funding Acknowledgements

Dr Buratto is a recipient of a Postgraduate Scholarship from the National Health and Medical Research Council and an Australian Government Research Training Program Scholarship (1134340) . Dr d Udekem is a National Health and Medical Research Council Clinician Practitioner Fellow (1082186) .