Abstract
he incidence of endocardial cushion defects in a surgical series is not high. In our series of more than 1,300 open-heart operations T for congenital cardiac defects, this anomaly has been encountered 39 times. The surgical repair of these defects is attended by a significant mortality rate-26% of 256 cases as reported by the Committee on Cardiovascular Surgery of the American College of Chest Physicians [Z]. The problems of persisting mitral valvular incompetence [ 1, 10, 171 and surgical heart block [Z, 6-81 continue to be a challenge to the cardiac surgeon, as does the quest for completely satisfactory operative techniques to repair the more severe forms of endocardial cushion defects. This report analyzes our experience with the 39 cases of endocardial cushion ,defects that we have operated upon.
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