Key result
In a review of 910 patients undergoing SV-ASD repair, sinus node dysfunction was highest with double-patch (8.6%) and venous obstruction highest with single-patch (7.7%) techniques.
Why the study?
Does the choice of surgical technique for superior sinus venosus atrial septal defect affect the incidence of sinus node dysfunction and venous obstruction?
Population
910 patients with superior sinus venosus atrial septal defect and partial anomalous pulmonary venous…
Comparison
Surgical repair of SV-ASD using various… vs Comparison between the different surgical…
Design
Systematic_review
Follow-up
0.008 - 30 years
Authors
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Technique selection for SV-ASD repair must balance sinus node dysfunction and venous obstruction risks; confirms technique-specific trade-offs in Level 1 evidence.
Systematic Review (n=910)
Does the choice of surgical technique for superior sinus venosus atrial septal defect affect the incidence of sinus node dysfunction and venous obstruction?
In the surgical repair of superior sinus venosus atrial septal defects, techniques that avoid incision across the cavoatrial junction help attenuate the trade-off between sinus node dysfunction and venous obstruction.
Okonta et al. (2013) conducted a systematic review in Superior sinus venosus atrial septal defect (SV-ASD) with partial anomalous pulmonary venous connection (PAPVC) (n=910). Surgical repair (single-patch, Warden's procedure, double-patch, or autologous right atrial appendage) vs. Comparison between different surgical techniques was evaluated on Sinus node dysfunction (SND) and venous obstruction. In a review of 910 patients undergoing SV-ASD repair, sinus node dysfunction was highest with double-patch (8.6%) and venous obstruction highest with single-patch (7.7%) techniques.
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