This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Murat Basaran Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Basaran, M. Search for Related Content PubMed PubMed Citation Articles by Basaran, M. Related Collections Related Article

ICVTS on-line discussion A

Goztepe Safak Hospital, Cardiovascular Surgery Clinic, Istanbul 84390, Turkey

No patch technique for complete atrioventricular canal repair

eComment: I read with great interest the innovative technique of Aramendi et al. [1] to repair complete atrioventricular canal defect. Modifications of ‘No-patch’ techniques have been sporadically attempted by some surgeons; but, since these studies usually included a limited number of patients, it is not possible today to draw definite conclusions about its long-term durability. I totally agree with the authors that this technique can be used in most of the patients and offers significant advantages. However, as the authors stated in the article, the main concern is the risk for the development of tension-related complications. This is especially true for patients with a large ventricular component. In such patients, tearing is a possible complication; but, more importantly, the absence of a patch material under valvular tissue may be also associated with a risk of postoperative left ventricular outflow tract (LVOT) obstruction. Therefore, it would be more helpful if the authors gave us information about the incidence of postoperative LVOT obstruction.

	References

Top References

 

1. Aramendi JI, Rodriguez MA, Luis T, Voces R. No patch technique for complete atrioventricular canal repair. Interact CardioVasc Thorac Surg doi:10.1510/icvts.2005.125799.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Murat Basaran Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Basaran, M. Search for Related Content PubMed PubMed Citation Articles by Basaran, M. Related Collections Related Article