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Atrioventricular septal defect and the left atrioventricular valve at reoperation

Published online by Cambridge University Press:  19 August 2008

Pietro A. Abbruzzese*
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Giancarlo Crupi
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Roberto Tumbarello
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Alessandra Napoleone
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Maurizio Merlo
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Lucio Parenzan
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
*
Dr. Pietro A. Abbruzzese, Divisione de Cardiochirurgia, Ospedale San Michele, Via Peretti, 09100 Cagliari, Italy

Summary

Between 1968 and December 1990, 29 patients underwent 33 reoperations for dysfunction of the left atrioventricular valve after correction ofatrioventricular septal defect. Repair of the valve was possible in all 10 patients who, initially, had a common atrioventricular orifice, using straightforward procedures such as closure of the septal commissure and annuloplasties according to Wooler. Additional valvar abnormalities (double orifice; fenestration of leaflets; malpositioned or malformed papillary muscles; and additional clefts) were rare in this group of patients. In contrast, these anomalies were frequent in the 19 patients who, initially, had separate right and left atrioventricular valves.

Type
The World Forum for Pediatric Cardiology Symposium on Atrioventricular Septal Defect
Copyright
Copyright © Cambridge University Press 1991

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References

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