Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique

Atrioventricular Septal Defects

Mid-term results for the use of the extended sandwich patch technique through right ventriculotomy for postinfarction ventricular septal defects.

OBJECTIVES Postinfarction ventricular septal defect (VSD) is a rare, but feared, complication after acute myocardial infarction. Although numerous techniques and materials have been used, the best technique has not yet been settled upon. We present a novel technique of VSD closure through the VSD via right ventricular (RV) incision and assess short- and mid-term outcomes. METHODS Between Apri...

Surgically created double-orifice left atrioventricular valve: a valve-sparing repair in selected atrioventricular septal defects.

OBJECTIVES Some features of the left atrioventricular valve (large mural leaflet, dystrophic tissue) represent a challenge for repair of atrioventricular septal defects without postoperative regurgitation. A retrospective study was conducted to evaluate the results of surgically creating a double-orifice left atrioventricular valve in such circumstances. Clinical results were analyzed according...

Left atrioventricular valve regurgitation after correction of atrioventricular septal defects.

PURPOSE Progressive regurgitation of the left atrioventricular valve (AV) remains a major postoperative problem in the repair of atrioventricular septal defect (AVSD). The aim of this study was to review a case series of AVSD repair and reoperation for significant left AV valve regurgitation from this institution. METHODS Forty-nine patients underwent initial repair of AVSD between February 1...

Results of one-and-a-half-patch technique for repair of complete atrioventricular septal defect with a large ventricular component.

OBJECTIVES Management of complete atrioventricular (AV) septal defect (CAVSD) with a large ventricular component (>1 cm) remains controversial. The purpose of this study was to assess the feasibility of the one-and-a-half patch technique in repairing this lesion. METHODS This was a retrospective review of patients undergoing surgical repair of CAVSD with a large ventricular component (>1 cm)....