A modified 'single patch' technique for complete atrioventricular septal defect correction.
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.
Prifti
Edvin
E
Department of Pediatric Cardiac Surgery, G. Pasquinucci Hospital, CREAS-IFC-CNR, Via Aurelia Sud, 54100 Massa, Italy. edvinprifti@hotmail.com
Bonacchi
Massimo
M
Leacche
Marzia
M
Vanini
Vittorio
V
D006348:Cardiac Surgical Procedures / Q000379:methods*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006349:Heart Valve Diseases / Q000209:etiology; D006351:Heart Valves / Q000601:surgery*; D006801:Humans; D007223:Infant; D011183:Postoperative Complications; D013536:Suture Techniques