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Ann Thorac Surg 2001;71:358-360
© 2001 The Society of Thoracic Surgeons

Case report

Double orifice right atrioventricular valve in atrioventricular septal defect: morphology and extension of the concept of fusion of leaflets

Marc A. Radermecker, MDa, Jane Somerville, MDa, Wei Li, MDa, Robert H. Anderson, MDa, Marc R. de Leval, MDa

a Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children NHS Trust, London, England, UK

Accepted for publication June 4, 2000.

Address reprint requests to Dr Radermecker, Department of Cardiovascular and Thoracic Surgery, University Hospital of Liège, CHU du Sart-Tilman, 4000 Liège, Belgium
e-mail: mradermecker{at}chu.ulg.ac.be

A rare observation of a double orifice right atrioventricular valve in a partial form of atrioventricular septal defect is reported. The concept of leaflet fusion along part of their anticipated zones of apposition is used to explain the formation of this anomaly. We show that this concept can account for the different morphologic presentations of atrioventricular septal defect.




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