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Ann Thorac Surg 1986;41:612-615
© 1986 The Society of Thoracic Surgeons

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Articles

Complete Atrioventricular Canal Associated with Tetralogy of Fallot or Double-Outlet Right Ventricle and Right Ventricular Outflow Tract Obstruction: A Report of Successful Surgical Treatment

Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia

Accepted for publication August 14, 1985.

^* Address reprint requests to Dr. Mee, Victorian Paediatric Cardiac Surgical Unit, Royal Children's Hospital, Flemington Rd, Parkville, Victoria 3052, Australia

Six patients, 4 of whom had complete atrioventricular (AV) canal and tetralogy of Fallot (TOF) and 2 of whom had double-outlet right ventricle with subaortic ventricular septal defect (VSD) and right ventricular outflow tract obstruction, were treated. Two of the patients with complete AV canal and TOF had a shunt procedure only. The other 4 patients underwent complete repair. All 6 patients survived the operation. Complete repair was performed through the right atrium using the two-patch technique. The size and shape of the VSD patch is important. Residual VSD after repair was common. Two patients have undergone successful reoperation for this problem. Another patient has a small residual VSD.

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