Abstract
Complete atrioventricular septal defect (AVSD) is a complex and relatively common congenital cardiac defect. The prognosis without surgical correction is generally quite poor. Current practice in most centers is repair in infancy, usually around 3–4 months of age. Repair involves septation of the atrium and ventricles, as well as partitioning and repair of the common AV valve. The Nunn repair is our preferred technique, although other operative strategies have been applied successfully over the years. All available techniques are technically demanding. Results of surgery in thousands of cases suggest that the natural history of this disease has been improved significantly.
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References
Dennis C, Spreng DS Jr, Nelson GE, et al. Development of a pump-oxygenator to replace the heart and lungs: an apparatus applicable to human patients and application to one case. Ann Surg. 1951;134:709.
Lillehei CW. Controlled cross circulation for direct-vision intracardiac surgery: correction of ventricular septal defects, atrioventricularis communis, and tetralogy of Fallot. Postgrad Med. 1955;17:388–96.
Maloney JV Jr, Marable SA, Mulder DG. The surgical treatment of common atrioventricular canal. J Thorac Cardiovasc Surg. 1962;43:84–96.
Mavroudis C. Atrioventricular septal defects (atrioventricular canal). In: Mavroudis C, Backer C, editors. Atlas of pediatric cardiac surgery. London: Springer; 2015. p. 117–29.
Jonas RA, Mora B. Individualized approach to repair of complete atrioventricular canal: selective use of the traditional single-patch technique versus the Australian technique. World J Pediatr Congenit Heart Surg. 2010;1:78–86.
Trusler GA, Yamamoto N, Williams WG, et al. Surgical treatment of pulmonary atresia with intact ventricular septum. Br Heart J. 1976;38:957–60.
Rastelli GC, Kirklin JW, Titus JL. Anatomic observations on complete form of persistent common atrioventricular canal with special reference to atrioventricular valves. Mayo Clin Proc. 1966;41:296–308.
Karl TR, Provenzano SC, Nunn GR, Anderson RH. The current surgical perspective to repair of atrioventricular septal defect with common atrioventricular junction. Cardiol Young. 2010;20(Suppl 3):120–7.
Anderson RH, Wessels A, Vettukattil JJ. Morphology and morphogenesis of atrioventricular septal defect with common atrioventricular junction. World J Pediatr Congenit Heart Surg. 2010;1:59–67.
Prifti E, Bonacchi M, Bernabei M, et al. Repair of complete atrioventricular septal defect with tetralogy of Fallot. J Card Surg. 2004;19:175–83.
Anagnostopoulos P, Nolke L, Alphonso N, et al. Pulmonary valve cusp augmentation may improve results for repair of tetralogy of Fallot. Ann Thorac Surg. 2007;83:1458–62.
Malm T, Karl TR, Mee RBB. Surgical treatment of atrioventricular septal defect with right ventricular outflow tract obstruction. J Card Surg. 1993;8:622–7.
Wilcox BR, Jones DR, Frantz EG, et al. Anatomically sound, simplified approach to repair of “complete” atrioventricular septal defect. Ann Thorac Surg. 1997;64:487–94.
Nicholson IA, Nunn GR, Sholler GF, et al. Simplified single patch technique for the repair of atrioventricular septal defect. J Thorac Cardiovasc Surg. 1999;118:642–7.
Clarke A, Nunn GR, Nicholson IA. The simplified single patch repair of complete atrioventricular septal defect. Oper Tech Thorac Cardiovasc Surg. 2004;9:233–9.
Nunn GR. Atrioventricular canal: modified single patch technique. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007;10:28–31.
Kim HK, Kim WH, Hwang SW, Lee JY, Song JY, Kim SJ, Jang KY. Predictive value of intraoperative transesophageal echocardiography in complete atrioventricularseptal defect. Ann Thorac Surg. 2005;80:56–9.
Backer CL, Stewart RD, Bailliard F, et al. Complete atrioventricular canal: comparison of modified single-patch technique with two-patch technique. Ann Thorac Surg. 2007;84:2038–46.
Backer CL, Kaushal S, Mavroudis C. Modified single-patch technique: repairing complete atrioventricular septal defect. Ann Pediatr Cardiol. 2009;2:51–4.
Li D, Fan Q, Iwase T, et al. Modified single-patch technique versus two-patch technique for the repair of complete atrioventricular septal defect: a meta-analysis. Pediatr Cardiol. 2017;38:1456–64.
Bell D, Justo R, Venugopal P, Karl TR, Alphonso NA. Propensity matched comparison of two patch and Nunn techniques for repair of complete AVSD. Eur J Cardio Thorac Surg. 2018;2018:ezz124.
Jacobs JP, O’Brien SM, Pasquali SK, et al. Variation in outcomes for benchmark operations: analysis of STS Congenital Heart Surgery database. Ann Thorac Surg. 2011;92:2184–92.
Pan G, Song L, Zhou X, et al. Complete atrioventricular septal defect repair: comparison of modified single patch technique with two patch technique in infants. J Card Surg. 2014;29:251–5.
Backer CL, Eltayeb O, Mongé MC, et al. No ventricular septal defect patch atrioventricular septal defect repair. Oper Tech Thorac Cardiovasc Surg. 2015;20:279–92.
Stephens EH, Ibrahimiye AN, Yerebakan H, et al. Early complete atrioventricular canal repair yields outcomes equivalent to late repair. Ann Thorac Surg. 2015;9:2109–16.
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Karl, T.R., Alphonso, N., Murala, J.S.K., Singappulli, K. (2020). Complete Atrioventricular Septal Defect. In: Raja, S. (eds) Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24174-2_105
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DOI: https://doi.org/10.1007/978-3-030-24174-2_105
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