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Division of Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Feinberg School of Medicine, 2300 Children's Plaza, mc 22, Chicago, IL 60614
(Email: cbacker@childrensmemorial.org).
| The first 20% of the full text of this article appears below. |
Dr Adachi and colleagues [1] from the Cardiology Morphology Unit at the National Heart and Lung Institute, Imperial College, London, have performed an interesting analysis of the "ventricular scoop" in heart specimens with complete atrioventricular septal defect and its relevance to the modified single-patch technique of surgical repair. There are several contributions of this review. One is the importance of the anterosuperior border of the atrioventricular septal defect. The authors have demonstrated that this extension actually has more impact on the left ventricular outflow tract (LVOT) size than the ventricular septal defect depth ("scoop"). They also noted that patients with Rastelli type C
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