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Eur J Cardiothorac Surg 2002;22:151-153
© 2002 Elsevier Science NL

How-to-do-it

A modified ‘single patch’ technique for complete atrioventricular septal defect correction

^a Department of Pediatric Cardiac Surgery, ‘G. Pasquinucci’ Hospital, CREAS-IFC-CNR, Via Aurelia Sud, 54100, Massa, Italy
^b Department of Cardiac Surgery, Careggi Hospital, University of Florence, Florence, Italy

Received 2 October 2001; received in revised form 11 February 2002; accepted 28 March 2002.

* Corresponding author. Tel.: +39-685-300-548; fax: +39-585-493-616
e-mail: edvinprifti{at}hotmail.com

We propose a modified single-patch technique consisting in plication of the patch on the left side, which then is sutured with the free edge of the left atrioventricular valve. The proposed technique offers all the advantages of the single-patch technique and at the same time provides additional tissue for reconstructing appropriately the left atrioventricular valve in cases with leaflet tissue deficiency such as severely dysplastic valve, double orifice left atrioventricular valve. This modification augments the left atrioventricular valve tissue appropriately to the orifice size, promotes leftward displacement and improved coaptation with the mural leaflet.

Key Words: Complete atrioventricular septal defect • Left atrioventricular regurgitation • Leaflet augmentation

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				E. Prifti, M. Bonacchi, M. Bernabei, A. Crucean, B. Murzi, F. Bartolozzi, V. S. Luisi, M. Leacche, N. S. Nathan, and V. Vanini Repair of complete atrioventricular septal defects in patients weighing less than 5 kg Ann. Thorac. Surg., May 1, 2004; 77(5): 1717 - 1726. [Abstract] [Full Text] [PDF]