Repair of Complete Atrioventricular Septal Defect with Tetralogy of Fallot:

Prifti, Edvin; Bonacchi, Massimo; Bernabei, Massimo; Leacche, Marzia; Bartolozzi, Fabio; Murzi, Bruno; Battaglia, Francesco; Nadia, Nathan S.; Vanini, Vittorio

doi:10.1111/j.0886-0440.2004.04031.x

Cited by 35 publications

(28 citation statements)

References 38 publications

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“…The presence of a welldeveloped right ventricle is an important premise for complete correction. 7) How ever, there is no precise demarcation between biventric ular repair and one and a half ventricle repair. Usually, a tricuspid Z value and right ventricular volume are used to evaluate the function of this approach.…”

Section: Discussionmentioning

confidence: 99%

“…3,4) Nevertheless, mor tality for complete surgical repair has decreased tremen dously from 29%-40% in 1990 [3][4][5][6] to 0%-20% in recent years. [7][8][9][10][11][12][13][14][15] We retrospectively reviewed 17 patients with this combination of lesions in our hospital for determi ning the best treatment for CAVSD with TOF and to assess our surgical approach with regard to preoperative evaluation, time of complete correction, number of patches used to septate the heart and reconstruction of right ventricular outflow tract (RVOT). …”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Zhang

et al. 2014

ATCS

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IntroductionThe association of complete atrioventricular septal defect (CAVSD) with tetralogy of Fallot (TOF) was known as a kind of rare congenital cardiac anomaly, first described by Bull 1) in 1885. In 1969, D'Allaines 2) mentioned the surgical management of this heart malfor mation for the first time. During the few past decades, the occurrence of CAVSD with TOF remained relatively infrequent, presenting in 5%-10% children with CAVSD and in 1.7% of patients with TOF. 3,4) Nevertheless, mor tality for complete surgical repair has decreased tremen dously from 29%-40% in 1990 [3][4][5][6] to 0%-20% in recent years. [7][8][9][10][11][12][13][14][15] We retrospectively reviewed 17 patients with this combination of lesions in our hospital for determi ning the best treatment for CAVSD with TOF and to assess our surgical approach with regard to preoperative evaluation, time of complete correction, number of patches used to septate the heart and reconstruction of right ventricular outflow tract (RVOT). Materials and Methods

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Zhang

et al. 2014

ATCS

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“…Complete AVSD with TOF is a difficult subset of patients. The overall mortality in this group from a meta-analysis of 50 studies is 9% (26). The VSD component is large and with anterior displacement, many worry about possible LVOT obstruction.…”

Section: Tof and Double Outlet Right Ventricle (Dorv)mentioning

confidence: 99%

A review of the Nunn modified single patch technique for atrioventricular septal defect repair

Geoffrion¹,

Singappuli²,

Murala³

2018

Transl Pediatr

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Atrioventricular septal defect (AVSD) is a common congenital cardiac surgical problem. Over the years, younger and smaller infants are having operations for this condition before irreversible cardio pulmonary changes occur. Traditionally a single or two patch techniques have been used to repair this defect. However, in the past two decades an innovative method of modified single patch technique popularized by Dr. Graham Nunn has gained worldwide popularity. This review discusses the origin, surgical principles, technique and outcomes of this method, popularly known as Nunn or Australian technique. Research comparing the modified single patch technique to classic single and double patch techniques has shown good preservation of atrioventricular valve function, no residual ventricular septal defect (VSDs), low incidence of left ventricular outflow obstruction, preserved conduction, easy reproducibility, and improved perioperative and long-term mortality.

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“…Initial experiences of surgical correction for this lesion were associated with high mortality (2)(3)(4), however recent reports have demonstrated acceptable outcome (5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Controversy still exists about the surgical approach, this related to the number of patches employed for CAVSD correction, the use of a right ventriculotomy, cleft closure and RVOT reconstruction, employment of a transannular patch, previous palliative procedures etc (15,16). The timing of complete repair and the utility of a preliminary shunt have not been well defined in the literature yet.…”

mentioning

confidence: 99%