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Technique of management of the left atrioventricular valve in the repair of atrioventricular septal defect with a common atrioventricular orifice

Published online by Cambridge University Press:  19 August 2008

Hillel Laks*
Affiliation:
From the Division of Cardiothoracic Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles
Eli R. Capouya
Affiliation:
From the Division of Cardiothoracic Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles
Jeffrey M. Pearl
Affiliation:
From the Division of Cardiothoracic Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles
Amir Elami
Affiliation:
From the Division of Cardiothoracic Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles
Davis C. Drinkwater Jr
Affiliation:
From the Division of Cardiothoracic Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles
*
Dr. Hillel Laks, Division of Cardiothoracic Surgery, UCLA Medical Center CHS 62-151, Los Angeles, CA 90024 USA

Summary

Despite improvement in the early outcome for patients undergoing complete repair of atrioventricular septal defects with a common atrioventricular orifice, the incidence of reoperation for failure of the repair of the left atrioventricular valve remains high. The surgical techniques employed in our most recent experience, including routine suture of the septal commissure and liberal use of valvar annuloplasty, were successful in achieving a very satisfactory competence of left atrioventricular valve with a iow incidence of reoperation for failure of the repair.

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

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References

McGrath, LB, Gonzales-Lavin, L.Actuarial survival, freedom from reoperation, and other events after repair of atrioventricular septal defects. J Thorac Cardiovasc Surg 1987; 94: 582590.CrossRefGoogle ScholarPubMed
Starr, A.Discussion of Bender et al. J Thorac Cardiovasc Surg 1982; 84: 515522.Google Scholar
Urban, AE.Total correction of complete atrioventricular canal: Surgical techniques and analysis of long-term results. Prog Ped Surg 1990; 25: 118122.CrossRefGoogle ScholarPubMed
Pozzi, M, Remig, J, Fimmers, R, Urban, AE.Atrioventricular septal defects. Analysis of short- and medium-term results. J Thorac Cardiovasc Surg 1991; 101: 138142.CrossRefGoogle Scholar
Carpentier, A. Surgical anatomy and management of the mitral component of atrioventricular canal defects. In: Anderson, RH, Shinebourne, EA (eds). Paediatric Cardiology 1977. Churchill Livingstone, Edinburgh 1978, p 477490.Google Scholar
Rastelli, GC, Ongley, PA, Kirklin, JW, McGoon, DC.Surgical repair of the complete form of persistent common atrioventricular canal. J Thorac Cardiovasc Surg 1968; 55: 299308.CrossRefGoogle ScholarPubMed
Laks, H, Hammond, GL.A cosmetically acceptable incision for the median sternotomy. J Thorac Cardiovasc Surg 1980; 79: 146149.CrossRefGoogle ScholarPubMed
Rastelli, GC, Kirklin, JW, Titus, JL.Anatomic observations on complete form of persistent common atrioventricular canal with special reference to atrioventricular valves. Mayo Clin Proc 1966; 41: 296308.Google ScholarPubMed
Rowlatt, UF, Rimoldi, HJA, Lev, M.The quantitative anatomy of the normal child's heart. Ped Clin North Am 1963; 10: 499588.CrossRefGoogle Scholar
Berger, TJ, Kirklin, JW, Blackstone, EH, Pacifico, AD, Kouchoukos, NT.Primary repair of complete atrioventricular canal in patients less than 2 years old. Am J Cardiol 1978; 41: 906913.CrossRefGoogle Scholar
Thiene, G, Wenink, ACG, Frescura, C, Wilkinson, JL, Galluci, V, Ho, SY, Mazzucco, A, Anderson, RH.Surgical anatomy and pathology of the conduction tissues in atrioventricular defects. J Thorac Cardiovasc Surg 1981; 82: 928937.CrossRefGoogle ScholarPubMed
Castañeda, AR, Mayer, JE, Jonas, RA.Repair of complete atrioventricular canal in infancy. World J Surg 1985; 9: 590597.CrossRefGoogle ScholarPubMed
Pan-Chih, , Chen-Chun, Surgical treatment of atrioventricular canal malformations. Ann Thorac Surg 1987; 43: 150154.CrossRefGoogle ScholarPubMed
Midgley, FM, Galioto, FM, Shapiro, SR, Perry, LW, Scott, LP.Experience with repair of complete atrioventricular canal. Ann Thorac Surg 1980; 30: 151159.CrossRefGoogle ScholarPubMed
Bender, HW Jr, Hammon, JW Jr, Hubbard, SG, Muirhead, J, Graham, TP.Repair of atrioventricular canal malformation in the first year of life. J Thorac Cardiovasc Surg 1982; 84: 515522.CrossRefGoogle ScholarPubMed
Kirklin, JW, Blackstone, EH.Management of the infant with complete atrioventricular canal. J Thorac Cardiovasc Surg 1979; 78: 3234.CrossRefGoogle ScholarPubMed
Cooper, DKC, de Leval, MR, Stark, J.Results of surgical correction of persistent complete atrioventricular canal. J Thorac Cardiovasc Surg 1979; 27: 111115.CrossRefGoogle ScholarPubMed
Chin, AJ, Keane, JF, Norwood, WI, Castañeda, AR.Repair of complete common atrioventricular canal in infancy. J Thorac Cardiovasc Surg 1982; 84: 437445.CrossRefGoogle ScholarPubMed
Mcgoon, DC, Dushane, JW, Kirklin, JW.Surgical treatment of endocardial cushion defects. Surgery 1956; 46: 185196.Google Scholar
Bove, EL, Sondheimer, HM, Kavey, RW, Byrum, CJ, Blackman, MS.Results with the two-patch technique for repair of complete atrioventricular septal defect. Ann Thorac Surg 1984; 38: 157160.CrossRefGoogle ScholarPubMed
Moreno-Cabral, RJ, Shumway, NE.Double patch technique for correction of complete atrioventricular canal. Ann Thorac Surg 1982; 33: 8891.CrossRefGoogle ScholarPubMed
McCabe, JC, Engle, MA, Gay, WA JrEbert, PA.Surgical treatment of endocardial cushion defects. Am J Cardiol 1977; 39: 7277.CrossRefGoogle ScholarPubMed
Abbruzzese, PA, Livermore, J, Suderland, CO, Nunley, L, Issenberg, H, Khonsari, S, Garcia, CE, Starr, A.Mitral repair in complete atrioventricular canal. Ease of correction in infancy. J Thorac Cardiovasc Surg 1983; 85: 388395.CrossRefGoogle Scholar
Anderson, RH, Zuberbuhler, JR, Penkoske, PA, Neches, WH.Of clefts, commissures, and things. J Thorac Cardiovasc Surg 1985; 90: 605610.CrossRefGoogle ScholarPubMed
Studer, M, Blackstone, EH, Kirklin, JW, Pacifico, AD, Soto, B, Chung, GKT, Kirlklin, JK, Bargeron, LM.Determinants of early and late results of repair of atrioventricular septal (canal) defects. J Thorac Cardiovasc Surg 1982 84; 523542.CrossRefGoogle ScholarPubMed