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Ann Thorac Surg 1986;41:342-344
© 1986 The Society of Thoracic Surgeons

Articles

Surgical Repair of Tetralogy of Fallot with Complete Atrioventricular Canal

Pascal R. Vouhé, M.D.*, Jean Yves Neveux, M.D.

From the Department of Thoracic and Cardiovascular Surgery, Hôpital Laënnec, Paris, France

Accepted for publication June 11, 1985.

* Address reprint requests to Dr. Vouhé, Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Laënnec, 42, rue de Sèvres, 75340 Paris Cédex 07, France 544 39 39

Total repair of tetralogy of Fallot and complete atrioventricular canal remains a surgical challenge; however, good results can be obtained if the lesions are repaired properly at operation. Our technique involves a combined right atrial and right ventricular approach with closure of the ventricular septal defect through the ventriculotomy, double-patch closure of the septal defects without dividing the bridging atrioventricular leaflets, and functional repair of the newly constructed mitral valve.




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