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Kenji Kusuhara
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Ann Thorac Surg 1989;47:302-304
© 1989 The Society of Thoracic Surgeons

Articles

Annuloplastic reconstruction for common atrioventricular valvular regurgitation in right isomerism

Yutaka Okita, MD*, Shigehito Miki, MD, Kenji Kusuhara, MD, Yuichi Ueda, MD, Takafumi Tahata, MD, Kazuo Yamanaka, MD, Shoichiro Shiraishi, MD, Tokio Tamura, MD

Departments of Cardiovascular Surgery and Pediatric Cardiology, Tenri Hospital, Nara, Japan

Accepted for publication August 17, 1988.

* Address reprint requests to Dr Okita, Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima, Tenri, Nara 632, Japan.

Two patients who had common atrioventriculac 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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