Biventricular repair of atrioventricular septal defect with common atrioventricular valve and double-outlet right ventricle

The Annals of Thoracic Surgery
Eric J DevaneyE L Bove

Abstract

The combination of an atrioventricular septal defect with a common atrioventricular junction guarded by a common valve, and double-outlet right ventricle, is a rare lesion that presents a challenge for surgical repair. This report describes our surgical approach and results in 16 patients undergoing biventricular repair for such a combination of lesions. A retrospective analysis was performed for all patients undergoing biventricular repair of atrioventricular septal defect with common atrioventricular valve and double-outlet right ventricle between 1991 and 2008. Patients with tetralogy of Fallot and common atrioventricular valve were excluded from analysis. Early and actuarial outcomes were evaluated using the chi(2) test for categorical variables and Wilcoxon rank sum for ordinal variables. The median age at operation was 16 months. Heterotaxy syndrome was present in 12 of the 16 patients (9 right isomerism and 3 left isomerism), and 6 had concurrent totally anomalous pulmonary venous connections. Primary repair was achieved in 6 patients, and 10 underwent one or more prior operations (most frequently a shunt, banding of the pulmonary trunk, or repair of the anomalous pulmonary venous connections). Enlargement of the ventric...Continue Reading

References

Dec 1, 1988·The Annals of Thoracic Surgery·A D PacificoJ K Kirklin
Oct 15, 1995·The American Journal of Cardiology·H UemuraR H Anderson
Sep 1, 1995·The Annals of Thoracic Surgery·H UemuraR H Anderson
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Feb 21, 2006·The Annals of Thoracic Surgery·Eric J DevaneyEdward L Bove
Feb 22, 2008·Cardiology in the Young·Jeffrey P JacobsMartin J Elliott

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Citations

May 16, 2013·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Robert H Anderson
May 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Glen S Van Arsdell
Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·Olivier VillemainEmre Belli
Sep 20, 2016·Cardiology in the Young·Tara BharuchaRobert H Anderson
Apr 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Richard A Jonas
Nov 12, 2016·World Journal for Pediatric & Congenital Heart Surgery·Qingyu WuMingkui Zhang
May 31, 2017·Cardiology in the Young·Vera D AielloTimothy J Mohun
Nov 18, 2017·World Journal for Pediatric & Congenital Heart Surgery·Hong MengHao Wang

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