• Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2007

    The double patch repair for complete atrioventricularis communis.

    • LitwinS BertSBDepartment of Cardiothoracic Surgery, Herma Heart Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA. sblitwin@chw.org, James S Tweddell, Michael E Mitchell, and Katherine A Mussatto.
    • Department of Cardiothoracic Surgery, Herma Heart Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA. sblitwin@chw.org
    • Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007 Jan 1: 21-7.

    AbstractThis article is a review of our experience with the two-patch repair of complete atrioventricularis communis. From October 1988 through December 2005, 222 infants and children underwent surgery. There were six early (2.7%) and six late (2.7%) deaths. Reoperation was required in 22 patients (10%) for residual or recurrent mitral regurgitation or stenosis, subaortic stenosis, repair of a ventricular septal defect with or without pulmonary stenosis, placement of a right heart valved conduit, and/or placement of a permanent cardiac pacemaker. All patients survived second operations and no child required early or late mitral valve replacement. The two-patch repair is a reliable surgical technique resulting in low mortality and a low need for reoperation.

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