Toshihide Asou

Surgical Treatment of Atrioventricular Septal Defect

First of all, I like to announce that Dr. Dicky Fahkry, one of our main members of this teleconference, has become the director of RS Jantung Harapan Kita. We would cerebrate this big news which will provide good gain and luck to Indonesian people with heart disease. In addition, new members have joined us, and this also will make great progress our teleconference and hopefuly pediatric cardiac care in Indonesia. Then, we hope to have their self-introduction and their expectations on this teleconference. In the present teleconference, an interesting topic will be the current practice of the treatment of atrioventricular septal defect (AVSD). Repair of complete AVSD has been mostly recommended at the earlier age of 3 to 6 months, and excellent outcomes has been reported. However, when the surgery is performed at the later period, a high rate of mortality and morbidity after repair in cAVSD have been reported. Usefulness of pulmonary artery banding can be considered as one of surgical options for late comers with cAVSD to adjust and control the pulmonary artery beds to the good conditions. Then, good surgical outcomes of partial AVSD have been reported at the viewpoint of mortality. Some reports, however, have still revealed the high rate of redo for residual AV valve regurgitation after surgery of partial AVSD.

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