PMID- 7094239 OWN - NLM STAT- MEDLINE DCOM- 19820910 LR - 20190623 IS - 0009-7322 (Print) IS - 0009-7322 (Linking) VI - 66 IP - 2 DP - 1982 Aug TI - Partial atrioventricular canal defect in adults. PG - 284-7 AB - Between March 1955 and March 1981, 52 adult patients (age 20 years or older) with partial atrioventricular canal (PAVC) were examined at the Mayo Clinic. Forty patients were in New York Heart Association (NYHA) functional class I or II. The ECG showed right bundle branch block with left-axis deviation in 48, first-degree atrioventricular block in 33 and atrial fibrillation in nine. Preoperative catheterization was done in 37 patients; the mean pulmonary resistance index was 2.8 U.m2, and the mean pulmonary-to-systemic flow ratio was 3.0. Forty-seven patients underwent operation; two required mitral valve replacement. There were three operative deaths (6.4% operative mortality) and two late deaths. All surviving patients were in NYHA class I or II. No patient required subsequent permanent pacemaker implantation. We conclude that repair of PAVC in adults may be performed at low risk and may improve patient longevity and functional status. FAU - Hynes, J K AU - Hynes JK FAU - Tajik, A J AU - Tajik AJ FAU - Seward, J B AU - Seward JB FAU - Fuster, V AU - Fuster V FAU - Ritter, D G AU - Ritter DG FAU - Brandenburg, R O AU - Brandenburg RO FAU - Puga, F J AU - Puga FJ FAU - Danielson, G K AU - Danielson GK FAU - McGoon, D C AU - McGoon DC LA - eng PT - Journal Article PL - United States TA - Circulation JT - Circulation JID - 0147763 SB - IM MH - Adult MH - Aged MH - Female MH - Follow-Up Studies MH - Heart Defects, Congenital/diagnostic imaging/*physiopathology/surgery MH - Heart Septal Defects, Atrial/physiopathology MH - Heart Valves/abnormalities MH - Hemodynamics MH - Humans MH - Male MH - Middle Aged MH - Radiography EDAT- 1982/08/01 00:00 MHDA- 1982/08/01 00:01 CRDT- 1982/08/01 00:00 PHST- 1982/08/01 00:00 [pubmed] PHST- 1982/08/01 00:01 [medline] PHST- 1982/08/01 00:00 [entrez] AID - 10.1161/01.cir.66.2.284 [doi] PST - ppublish SO - Circulation. 1982 Aug;66(2):284-7. doi: 10.1161/01.cir.66.2.284.