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Interact CardioVasc Thorac Surg 2006;5:349-352. doi:10.1510/icvts.2005.125799
© 2006 European Association of Cardio-Thoracic Surgery
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Miguel Angel Rodriguez
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Right arrow Congenital - acyanotic
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Work in progress report - Congenital

No patch technique for complete atrioventricular canal repair

José Ignacio Aramendia,*, Miguel Angel Rodrigueza, Teresa Luisb and Roberto Vocesa

a Division of Cardiac Surgery, Hospital de Cruces, Barakaldo 48903, Spain
b Division of Pediatric Cardiology, Hospital de Cruces, Barakaldo 48903, Spain

*Corresponding author. Tel.: +34-94-346006339.

E-mail address: jiaramendi{at}hcru.osakidetza.net (J.I. Aramendi).

We describe our initial experience with a new technique, consisting in direct closure of the ventricular septal defect component of the AV canal, by directly attaching the common bridging leaflets to the crest of the ventricular septum with interrupted sutures. After closure of the cleft, the ostium primum defect was closed with a running suture suturing the border of the septum primum to the newly created AV valve annulus. Three patients were operated upon. There was no mortality. Mean ischemic time was 39 min and mean pump time 77 min. All patients remained in sinus rhythm. At follow-up only trivial or mild mitral regurgitation was observed. This new technique permits the repair of complete AV canal without the need for any patch. It is fast, simple and reproducible.

Key Words: Congenital heart disease (CHD); CHD septal defects; Infant


Related Article

ICVTS on-line discussion A
Murat Basaran
Interactive CardioVascular and Thoracic Surgery 2006 5: 352. [Full Text] [PDF]



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M. Basaran
ICVTS on-line discussion A
Interactive CardioVascular and Thoracic Surgery, August 1, 2006; 5(4): 352 - 352.
[Full Text] [PDF]


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