Waleed I Ibraheem
Egypt
Research Article
Repair of Complete Atrioventricular Septal Defects with Tetralogy of Fallot, Double Patch Technique with Augmentation of the Left Atrioventricular Valve: Early Results from a Developing Country Tertiary Cardiac Centre
Author(s): Waleed I IbraheemWaleed I Ibraheem
Background: The association of the Tetralogy of Fallot (TOF) with a Complete Atrioventricular Septal Defect (CAVSD) occurs in 5-10% of hearts with CAVSD. In this paper, we describe the early results of a modification of the double patch technique in which we augment the LAVV leaflet using the patch used for the VSD closure in the repair of CAVSD with TOF.Patients and Methods: Between 2012 and 2014, 12 consecutive patients with CAVSD associated with TOF underwent complete repair were retrospectively reviewed. A double patch technique with LAVV leaflet augmentation was used in all the patients. Tetralogy of Fallot repair included transannular patch in 11 (65%) patients and valvesparing in 6 (35%) patients.Results: Mean age was 25 months ± 18.8, 7 males. Mean weight was 25 kg ± 18.8. Mean pulmonary artery annulus z-score was -1.2 &#.. View More»
