Monocusp homograft VSD patch in atrioventricular canal with tetralogy of Fallot.
A monocusp aortic homograft was used to compensate for deficient right atrioventricular valve tissue during repair of complete atrioventricular canal defect with tetralogy of Fallot. The homograft was used to produce a comma-shaped ventricular septal defect patch together with the septal leaflet of the right atrioventricular valve, thus committing native leaflet tissue to left atrioventricular valve reconstruction. One year postoperatively the child is in New York Heart Association class I with no tricuspid regurgitation.
Westaby
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Department of Cardiac Surgery, Oxford Heart Centre, United Kingdom.
D001021:Aortic Valve / Q000637:transplantation; D002675:Child, Preschool; D004694:Endocardial Cushion Defects / Q000150:complications / Q000601:surgery*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006801:Humans; D008722:Methods; D008943:Mitral Valve / Q000601:surgery; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*