Journal article

Mid-term outcome with pericardial patch augmentation for redo left atrioventricular valve repair in atrioventricular septal defect

Koichi Sughimoto, Yves d'Udekem, Igor E Konstantinov, Christian P Brizard, J Hoerer, Y d'Udekem, K Sakamoto, G Stellin, A Frigiola

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | OXFORD UNIV PRESS INC | Published : 2016

Abstract

OBJECTIVES: Recurrent left atrioventricular valve (LAVV) regurgitation after atrioventricular septal defect (AVSD) repair is a difficult technical issue. This study exposes the various techniques successively employed to repair the recurrent LAVV regurgitation and their different outcomes. Emphasis however will be put on the new technique used in our unit called cleft patch augmentation, which has been used continuously since 1998 in the anatomical context of normal papillary muscles (NPMs). METHODS: This is a retrospective follow-up study using a Cox regression model for risk analyses from November 1991 to July 2008, including 45 patients who underwent reoperation for LAVV regurgitation aft..

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