Complex atrioventricular canal.
Complex forms of atrioventricular (AV) canal (C) such as; AVC with left ventricular outflow tract obstruction, tetralogy of Fallot with complete AVC, double orifice left AV valve, unbalanced complete AVC, and single ventricle patients with common AVC valve require careful preoperative planning and special techniques. This review will explore these technical modifications and outcomes for repair of complex variants of AVC. Optimal results will be achieved using an individually tailored approach that is guided by careful evaluation of the preoperative studies, precise operative technique, and intraoperative assessment of the reconstructed AV valve, as well as a willingness to re-intervene should the postoperative course not proceed as anticipated.
Mitchell
Michael E
ME
Herma Heart Center, Children's Hospital of Wisconsin, Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Litwin
S Bert
SB
Tweddell
James S
JS
D006348:Cardiac Surgical Procedures / Q000379:methods; D006325:Heart Atria / Q000002:abnormalities / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006351:Heart Valves / Q000002:abnormalities / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D016343:Monitoring, Intraoperative; D011651:Pulmonary Artery / Q000601:surgery; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000209:etiology / Q000473:pathology / Q000601:surgery