Utilization of Double-Orifice Valve Plasty in Correction of Atrioventricular Septal Defect

Utilization of the Edge‐to‐Edge Valve Plasty Technique to Correct Severe Tricuspid Regurgitation in Patients with Congenital Heart Disease

“…The method of correcting AVC was reported previously. 9 For patients (Table 1). Before an annuloplasty was performed, appropriate sizers were used to notch at points corresponding to the anteroseptal and posteroseptal commissures at both ends of the septal leaflet, and a proper band was selected.…”

“…The etiology of TR was as follows: part absence of septal leaflet in three cases, restriction of septal leaflet movement in two cases, anterior leaflet prolapse in two cases, and anterior and septal leaflet prolapse in two cases. The method of correcting AVC was reported previously 9 . For patients with a partial absence of septal leaflet, transfer of the anterior and posterior leaflets was performed.…”

Repairing the tricuspid valve in congenital heart diseases other than Ebstein’s

“…With unrepaired atrioventricular septal defect of any Rastelli classification, either with balanced or unbalanced ventricles, right-sided atrioventricular valve regurgitation may exist owing to clefts, from straddling/overriding, or from right ventricular and annular dilatation owing to the ventricular septal defect shunt, poor ventricular function, or from pulmonary hypertension and backflow. [22][23][24][25][26][27][28][29] In patients after complete correction of atrioventricular valve septal defect, postoperative right-sided insufficiency may be an iatrogenic sequel from technical error at the time of repair and/or insufficient availability of the tissue to achieve adequate coaptation of the leaflets.…”

“…With unbalanced ventricles, with or without straddling or other concerns precluding septation, a one-and-a-half repair with a bidirectional cavopulmonary anastomosis or other variants of single-ventricle physiology should be considered. [22][23][24][25][26][27][28][29][30][31] Marfan's disease Marfan's disease is an autosomal dominantly inherited connective tissue disorder, of which the most common cardiovascular manifestations include aortic aneurysms and aortic valve insufficiency. However, all four valves may be affected, more often the mitral valve in order of importance, followed by the tricuspid valve with or without tetralogy of Fallot.…”

“…Techniques may be adapted to achieve valvar competence, including the De Vega annuloplasty, the Kay–Wooler plasty, ring annuloplasty, surgical creation of a double-orifice valve (Alfieri stitch), and leaflet patch enlargement plasty, depending on the underlying mechanism. With unbalanced ventricles, with or without straddling or other concerns precluding septation, a one-and-a-half repair with a bidirectional cavopulmonary anastomosis or other variants of single-ventricle physiology should be considered 22 – 31 …”