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Technique of repair of atrioventricular septal defect with a common atrioventricular orifice

Published online by Cambridge University Press:  19 August 2008

Walter H. Merrill ,
John W. Hammon Jr  and
Harvey W. Bender Jr
Walter H. Merrill*
Affiliation:
From the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville
John W. Hammon Jr
Affiliation:
From the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville
Harvey W. Bender Jr
Affiliation:
From the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville
*
Dr. Walter H. Merrill, The Vanderbilt Clinic, Room 2986 Nashville, TN 37232, USA
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Summary

We advocate primary repair of atrioventricular septal defect with a common atrioventricular orifice in symptomatic children presenting with intractable congestive heart failure. The single patch technique has been utilized as our procedure of choice. A low operative mortality and a low incidence of residual ventricular septal defect and regurgitation of the left atrioventricular valve requiring reoperation has been achieved. This report emphasizes the technical details of the repair. Careful delineation of anatomic detail is considered to be of the utmost importance. Precise suture placement, tailoring the patch, and reconstruction of the left atrioventricular valve are essential to achieve complete closure of the atrial and ventricular septal defects and functional integrity of the left atrioventricular valve.

Type
The World Forum for Pediatric Cardiology Symposium on Atrioventricular Septal Defect
Information
Cardiology in the Young , Volume 1 , Issue 4 , October 1991 , pp. 379 - 382
Copyright
Copyright © Cambridge University Press 1991

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References

Lillehei, CW, Anderson, RC, Ferlic, RM, Bonnabeau, RC.Persistent common atrioventricular canal. J Thorac Cardiovasc Surg 1969; 57: 83–94.CrossRefGoogle ScholarPubMed
Williams, WH, Guyton, RA, Michalik, RE, Plauth, WH Jr. Zorn-Chelton, S, Jones, EL, Rhee, KH, Hatcher, CR Jr. Individualized surgical management of complete atrioventricular canal. J Thorac Cardiovasc Surg 1983; 86: 838–844.CrossRefGoogle ScholarPubMed
Weintraub, RG, Brawn, WJ, Venables, AW, Mee, RBB.Two-patch repair of complete atrioventricular septal defect in the first year of life. J Thorac Cardiovasc Surg 1990; 99: 320–326.CrossRefGoogle ScholarPubMed
Bender, HW Jr, Hammon, JW Jr., Hubbard, SG, Muirhead, J, Graham, TP Jr. Repair of atrioventricular canal malformation in the first year of life. J Thorac Cardiovasc Surg 1982; 84: 515–522.CrossRefGoogle ScholarPubMed
Merrill, WH, Hammon, JW Jr, Graham, TP Jr, Bender, HW Jr. Complete repair of atrioventricular sepral defect. Ann Thorac Surg 1991; 52: 29–32.CrossRefGoogle Scholar