Health Condition 1: Q212- Atrioventricular septal defect
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All infants and children diagnosed with Complete Atrioventricular Septal Defect (AVSD) who are scheduled for primary surgical repair at the Department of Cardiothoracic and Vascular Surgery, AIIMS, New Delhi, will be included. Written informed consent from the parent or legally acceptable representative, along with assent from children aged 7 to 18 years where applicable, must be obtained prior to enrolment.
Exclusion criteria
Exclusion criteria: Patients with additional complex cardiac anomalies requiring concurrent corrective procedures, such as Total Anomalous Pulmonary Venous Connection (TAPVC), Aortic Arch abnormalities, or Tetralogy of Fallot (TOF), will be excluded. Patients with a history of previous cardiac surgery will also be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess improvements in cardiac function and valve competence over time. Timepoint: -Echocardiographic assessment of degree of AV Valve Regurgitation, Residual Shunts and LVOT Obstruction at discharge and during follow-up in intervals of 1, 3 and 6 months. -To determine Arrythmias and the need of Pacemaker through ECG at discharge and during follow-up in intervals of 1, 3 and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare Intraoperative parameters between the two techniques.Timepoint: Cardiopulmonary bypass (CPB) time -Aortic cross-clamp time -Total operative time ;To evaluate differences in recovery and resource utilizationTimepoint: -Duration of ICU stay -Total hospital length of stay -Time to extubation and mobilization ;: To compare the overall safety and efficacy of the modified single-patch versus double-patch technique in the repair of complete AVSD.Timepoint: -Early postoperative mortality within 30 days of surgery. -Reintervention rates | — |
Countries
India
Contacts
All India Institute of Medical Sciences New Delhi