title: [Complete atrioventricular canal and tetralogy of Fallot: surgical considerations].
abstract: Nine patients with complete atrioventricular canal and tetralogy of Fallot underwent intracardiac repair of both anomalies between 1982 and 1989. The ages of the patients ranged from 6 months to 7 years. Six of the 9 had one or more previous systemic-pulmonary artery shunts. Two-dimensional echocardiography showed diagnostic characteristics of both malformations in all patients. The diagnosis was confirmed by cardiac catheterization and cineangiography. The ventricular septal defect was repaired by a combined right atrial and ventricular approach in every patient. Outflow tract reconstruction was performed with the use of a transannular patch (4), infundibular patch (4), and a valved conduit (1). There were no hospital deaths. Meningitis was responsible for the death of a patient 2 years after repair. We recommend early palliation, complete repair in those older than 4 or 5 years, surgical technique depending on the anatomical findings, combined atrial and ventricular approach, 2 separate patches to close the ventricular septal defect in required cases, adjusted correction of the right ventricular outflow tract, and careful postoperative care.
authors.affiliation: Servicio de Cirugía Cardíaca Pediátrica, Hospital Ramón y Cajal, Madrid.
authors.forename: J
authors.initials: J
authors.lastname: Alonso
authors.forename: P
authors.initials: P
authors.lastname: Núñez
authors.forename: J
authors.initials: J
authors.lastname: Pérez de León
authors.forename: P A
authors.initials: PA
authors.lastname: Sánchez
authors.forename: F
authors.initials: F
authors.lastname: Villagrá
authors.forename: R
authors.initials: R
authors.lastname: Gómez
authors.forename: S
authors.initials: S
authors.lastname: López Checa
authors.forename: D
authors.initials: D
authors.lastname: Vellibre
authors.forename: J M
authors.initials: JM
authors.lastname: Brito
mesh_terms: D002648:Child; D002675:Child, Preschool; D004452:Echocardiography; D004694:Endocardial Cushion Defects / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Canal atrioventricular completo y tetralogía de Fallot: consideraciones quirúrgicas.