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Ann Thorac Surg 1980;29:351-356
© 1980 The Society of Thoracic Surgeons
Departments of Surgery and Pediatrics, University of Alabama School of Medicine and Medical Center, Birmingham, AL
Accepted for publication July 13, 1979.
Ten patients with complete atrioventricular (AV) canal and tetralogy of Fallot or double-outlet right ventricle (DORV) with subaortic ventricular septal defect and pulmonary stenosis underwent complete repair. Associated cardiac anomalies were frequent, and 3 patients had situs ambiguus and 1 had situs inversus. Two (40%) of the 5 patients with complete AV canal and tetralogy of Fallot died in hospital, as did 3 (60%) of the 5 with complete AV canal and DORV. No deaths occurred among the 4 patients in whom repair could be done without using a transannular patch across the pulmonary valve ring or a valved external conduit. Five (62%) of the 8 without major associated malformations survived.
Preoperative study must define completely the malformation. The repair, done through the right atrium alone or in combination with a right ventriculotomy, is most easily accomplished with separate patches for the ventricular and atrial components of the septal defect.
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