Abstract
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.
MeSH terms
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Aortic Valve Stenosis / etiology
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Aortic Valve Stenosis / surgery
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Cardiac Surgical Procedures / instrumentation
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Cardiac Surgical Procedures / methods*
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Cardiopulmonary Bypass
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Child
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Child, Preschool
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Echocardiography
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Endocardial Cushion Defects / complications
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Endocardial Cushion Defects / epidemiology
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Endocardial Cushion Defects / surgery*
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Follow-Up Studies
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Heart Septal Defects, Atrial / complications
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Heart Septal Defects, Atrial / epidemiology
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Heart Septal Defects, Atrial / surgery*
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Heart Septal Defects, Ventricular / complications
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Heart Septal Defects, Ventricular / epidemiology
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Heart Septal Defects, Ventricular / surgery*
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Humans
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Hypothermia, Induced
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Infant
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Mitral Valve Insufficiency / etiology
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Mitral Valve Insufficiency / surgery
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Mitral Valve Stenosis / etiology
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Mitral Valve Stenosis / surgery
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Pacemaker, Artificial
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Postoperative Complications / etiology
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Postoperative Complications / surgery
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Pulmonary Valve Stenosis / etiology
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Pulmonary Valve Stenosis / surgery
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Reoperation
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Severity of Illness Index
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Survival Analysis
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Treatment Outcome