International Journal of Cardiovascular and Thoracic Surgery

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Outcomes of Atrioventricular Septal Defects Surgery in Senegal

Introduction: The incidence of atrioventricular septal defect (AVSD) varies between 0.24 to 0.31 per 1000 births and represents 4% of congenital heart disease. AVSD surgery has known a fast evolution with better results due to a better perioperative management of these patients and an earlier complete cure in the first 3 to 6 months. In Senegal, AVSD surgery represents a real challenge because a diagnosis is most often late. These patients are operated on at a later age. It is in this context that this work was carried out to see the results of the surgery of these patients and compared them with those of the literature. The aims of this work were to study the epidemiological profile as well as the clinical specificities of AVSD; to evaluate the results of surgery in terms of morbidity and mortality. Materials and Methods: This is a retrospective, descriptive and analytical study carried out from the chart of patients followed at the CUOMO cardio-pediatric center in Dakar over a period from January 2017 to May 2021. Results: The average age of patients is 77 months. The average duration of cardiopulmonary bypass (CPB) was 151 ± 78 min (62–375min), the average duration of aortic cross clamping was 113 ± 63.8 min (41-271min). Morbidity was dominated by heart rhythm disorders (13%) and hemodynamic instability (13%). The early mortality rate was 13% (3 patients), late mortality was nil. The mortality risk factors that were found in our study are patients with a diagnosis of complete AVSD, a CPB duration greater than 150 min, an intubation duration greater than 45 hours and an inotropic support duration greater than 136 hours. Conclusion: Our long-term results are satisfactory and encouraging in terms of survival and quality of life. Even though they were operated late most often beyond the indicated period, we have had good results in the follow-up of these patients after surgery. The recommendations go to the earlier management of these patients in our countries with an awareness in early diagnosis and more appropriate care to further reduce morbidity and mortality.

Atrioventricular Septal Defect, Surgery, Senegal

APA Style

Diop Momar Sokhna, Ba Papa Ousmane, Diagne Papa Amath, Sow Ndeye Fatou, Ba Papa Salmane, et al. (2023). Outcomes of Atrioventricular Septal Defects Surgery in Senegal. International Journal of Cardiovascular and Thoracic Surgery, 9(4), 45-50.

ACS Style

Diop Momar Sokhna; Ba Papa Ousmane; Diagne Papa Amath; Sow Ndeye Fatou; Ba Papa Salmane, et al. Outcomes of Atrioventricular Septal Defects Surgery in Senegal. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(4), 45-50. doi: 10.11648/j.ijcts.20230904.11

AMA Style

Diop Momar Sokhna, Ba Papa Ousmane, Diagne Papa Amath, Sow Ndeye Fatou, Ba Papa Salmane, et al. Outcomes of Atrioventricular Septal Defects Surgery in Senegal. Int J Cardiovasc Thorac Surg. 2023;9(4):45-50. doi: 10.11648/j.ijcts.20230904.11

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Tubman TR, Shields MD, Craig BG et al Congenital heart disease in Down’s syndrome: two year prospective early screening study. Br Med J. Jun 1991; 302 (6790): 1425-7.
2. Barlow GM, Chen XN, Shi ZY et al. Down syndrome congenital heart disease: a narrowed region and a candidate gene. Genet Med Off J Am Coll Med Genet. Apr 2001; 3 (2): 91-101.
3. Samaánek M. Prevalence at birth, “natural” risk and survival with atrioventricular septal defect. Cardiol Young. Oct 1991; 1 (4): 285-9.
4. Anderson RH, Ho SY, Falcao S et al. The diagnostic features of atrioventricular septal defect with common atrioventricular junction. Cardiol Young. Jan 1998; 8 (1): 33-49.
5. Crawford FA, Stroud MR. Surgical repair of complete atrioventricular septal defect. Ann Thorac Surg. Nov 2001; 72 (5): 1621-9.
6. Jerbi S, Tarmiz A, Romdhani N et al. Chirurgie du canal atrioventriculaire partiel : résultats à court et à moyen terme à propos de 56 patients opérés. Ann Cardiol Angéiologie. Avril 2009; 58 (2): 129-33.
7. Ramgren JJ, Nozohoor S, Zindovic I et al. Long-term outcome after early repair of complete atrioventricular septal defect in young infants. J Thorac Cardiovasc Surg Jun 2021; 161 (6): 2145-2153.
8. Fong LS, Betts K, Bell D, Konstantinov IE et al. Complete atrioventricular septal defect repair in Australia: Results over 25 years. J Thorac Cardiovasc Surg. March 2020; 159 (3): 1014-1025. e8.
9. Dragulescu A, Ghez O, Fraisse A. et al. Résultats à long terme du traitement chirurgical du canal atrioventriculaire complet. Arch Mal Cœur et des Vaiss, Mai 2007; 100: 5.
10. Stephens EH, Ibrahimiye AN, Yerebakan H et al. Early Complete Atrioventricular Canal Repair Yields Outcomes Equivalent to Late Repair. Ann Thorac Surg. Jun 2015; 99 (6): 2109-15; discussion 2115-2116.
11. Li D, Fan Q, Iwase T et al. Modified Single-Patch Technique Versus Two-Patch Technique for the Repair of Complete Atrioventricular Septal Defect: A Meta-Analysis. Pediatr Cardiol. Oct 2017; 38 (7): 1456-64.
12. Bando K, Turrentine MW, Sun K, et al. Surgical management of complete atrioventricular septal defects: A twenty-year experience. J Thorac Cardiovasc Surg. Nov 1995; 110 (5): 1543-54.
13. Tusler GA. Correction of type C complete atrioventricular canal surgical considerations [Discussion] J Thorac vasc Surg 1971; 71: 27.
14. Tweddell JS, Litwin SB, Berger S, et al. Twenty-year experience with repair of complete atrioventricular septal defects. Ann Thorac Surg. Aug 1996; 62 (2): 419-24.
15. Alexi-Meskishvili V, Ishino K, Dähnert I et al. Correction of complete atrioventricular septal defects with the double-patch technique and cleft closure. Ann Thorac Surg. Aug 1996; 62 (2): 519-25.
16. Wu Y, Kuang H, Wang G et al. Surgical Management for Complete Atrioventricular Septal Defects: A Systematic Review and Meta-Analysis. Pediatr Cardiol. Oct 2020; 41 (7): 1445-57.
17. Jonas RA, Mora B. Individualized approach to repair of complete atrioventricular canal: selective use of the traditional single-patch technique versus the Australian technique. World J Pediatr Congenit Heart Surg. Apr 2010; 1 (1): 78-86.
18. Van Mierop LH, Alley RD. The management of the cleft mitral valve in endocardial cushion defects. Ann Thorac Surg. May 1966; 2 (3): 416-23.
19. Wetter J, Sinzobahamvya N, Blaschczok C, et al. Closure of the zone of apposition at correction of complete atrioventricular septal defect improves outcome. Eur J Cardiothorac Surg. Feb 2000; 17 (2): 146-53.
20. St Louis JD, Jodhka U, Jacobs JP et al. Contemporary outcomes of complete atrioventricular septal defect repair: analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg. Dec 2014; 148 (6): 2526-31.
21. Shuhaiber JH, Ho SY, Rigby M et al. Current options and outcomes for the management of atrioventricular septal defect. Eur J Cardiothorac Surg. May 2009; 35 (5): 891-900.
22. Ginde S, Lam J, Hill GD et al. Long-term outcomes after surgical repair of complete atrioventricular septal defect. J Thorac Cardiovasc Surg. Aug 2015; 150 (2): 369-74.
23. Singh RR, Warren PS, Reece TB, et al. Early Repair of Complete Atrioventricular Septal Defect is Safe and Effective. Ann Thorac Surg. Nov 2006; 82 (5): 1598-602.
24. Atz AM, Hawkins JA, Lu M et al. Surgical Management of Complete Atrioventricular Septal Defect: Associations with Surgical Technique, Age, and Trisomy 21. J Thorac Cardiovasc Surg. Jun 2011; 141 (6): 1371-9.
25. Yahia F, Hakim K, Hmila G, et al. Résultats de la chirurgie réparatrice du canal atrioventriculaire complet : complications et facteurs prédictifs de mortalité précoce et de réintervention Revue Tunisienne de Cardiologie 2020; 16: 8.
26. Ten Harkel ADJ, Cromme-Dijkhuis AH, Heinerman BCC et al. Development of Left Atrioventricular Valve Regurgitation After Correction of Atrioventricular Septal Defect. Ann Thorac Surg. Feb 2005; 79 (2): 607-12.
27. Gott VL, Shumway NE. Cross-circulation: a milestone in cardiac surgery. J Thorac Cardiovasc Surg. March 2004; 127 (3): 617.
28. Hoohenkerk GJF, Bruggemans EF, Rijlaarsdam et al. More Than 30 Years’ Experience With Surgical Correction of Atrioventricular Septal Defects. Ann Thorac Surg. Nov 2010; 90 (5): 1554-61.