title: Single ventricle: repair of atrioventricular valve using the bridging technique.
abstract: Atrioventricular valve regurgitation is one of the predictors of adverse outcomes after the Fontan procedure. We describe our surgical technique of GoreTex (W. L. Gore & Associates, Inc., Flagstaff, AZ, USA) bridge to repair a common atrioventricular valve in single-ventricular circulation. The repair includes a GoreTex strip that is secured to the mid-line of both superior and inferior bridging leaflets and annulus to obtain a better coaptation of the leaflets and prevent further dilatation of the annulus. We have applied this technique for 7 consecutive patients with excellent outcomes.
authors.affiliation: Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia Department of Paediatrics, Faculty of Medicine, The University of Melbourne, Melbourne, Australia Murdoch Children's Research Institute, Melbourne, Australia igor.konstantinov@rch.org.au.
authors.forename: Igor E
authors.initials: IE
authors.lastname: Konstantinov
authors.affiliation: Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sughimoto
authors.affiliation: Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia Department of Paediatrics, Faculty of Medicine, The University of Melbourne, Melbourne, Australia Murdoch Children's Research Institute, Melbourne, Australia.
authors.forename: Christian Pierre
authors.initials: CP
authors.lastname: Brizard
authors.affiliation: Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia Department of Paediatrics, Faculty of Medicine, The University of Melbourne, Melbourne, Australia Murdoch Children's Research Institute, Melbourne, Australia.
authors.forename: Yves
authors.initials: Y
authors.lastname: d'Udekem
mesh_terms: D002675:Child, Preschool; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000295:instrumentation / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006351:Heart Valves / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007223:Infant; D011138:Polytetrafluoroethylene; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene
keywords: Atrioventricular septal defect; Single ventricle; Valve repair