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The Annals of Thoracic Surgery, Vol 47, 302-304, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Annuloplastic reconstruction for common atrioventricular valvular regurgitation in right isomerism

Y Okita, S Miki, K Kusuhara, Y Ueda, T Tahata, K Yamanaka, S Shiraishi and T Tamura
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.

Two patients who had common atrioventricular valvular regurgitation associated with right isomerism, univentricular heart of the right ventricular type, transposition of the great arteries, pulmonary stenosis, and both systemic and pulmonary venous anomalies underwent common atrioventricular valvular annuloplasty. They also underwent bilateral, bidirectional cavopulmonary shunt. A Carpentier's ring was used in patient 1 and a polytetrafluoroethylene tube was used in patient 2 to reduce the diameter of the common atrioventricular annuli. Postoperative catheterization confirmed complete elimination of regurgitation of the common atrioventricular valve in both patients.


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