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Ann Thorac Surg 1993;56:161-163
© 1993 The Society of Thoracic Surgeons
Department of Cardiac Surgery, Oxford Heart Centre, Oxford, United Kingdom
Accepted for publication September 4, 1992.
* Address reprint requests to Dr Westaby, Oxford Heart Centre, John Radcliffe Hospital, Headington, Oxford, OX3 9DU, United Kingdom.
A monocusp aortic homograft was used to compensate for deficient right atrioventricular valve tissue during repair of complete atrioventricular canal defect with tetralogy of Fallot. The homograft was used to produce a comma-shaped ventricular septal defect patch together with the septal leaflet of the right atrioventricular valve, thus committing native leaflet tissue to left atrioventricular valve reconstruction. One year postoperatively the child is in new York Heart Association class I with no tricuspid regurgitation.
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