The double patch repair for complete atrioventricularis communis.
This article is a review of our experience with the two-patch repair of complete atrioventricularis communis. From October 1988 through December 2005, 222 infants and children underwent surgery. There were six early (2.7%) and six late (2.7%) deaths. Reoperation was required in 22 patients (10%) for residual or recurrent mitral regurgitation or stenosis, subaortic stenosis, repair of a ventricular septal defect with or without pulmonary stenosis, placement of a right heart valved conduit, and/or placement of a permanent cardiac pacemaker. All patients survived second operations and no child required early or late mitral valve replacement. The two-patch repair is a reliable surgical technique resulting in low mortality and a low need for reoperation.
Litwin
S Bert
SB
Department of Cardiothoracic Surgery, Herma Heart Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA. sblitwin@chw.org
Tweddell
James S
JS
Mitchell
Michael E
ME
Mussatto
Katherine A
KA
D001024:Aortic Valve Stenosis / Q000209:etiology / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D004452:Echocardiography; D004694:Endocardial Cushion Defects / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D007223:Infant; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000601:surgery; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012720:Severity of Illness Index; D016019:Survival Analysis; D016896:Treatment Outcome