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The double patch repair for complete atrioventricularis communis

S Bert Litwin1, James S Tweddell, Michael E Mitchell

  • 1Department of Cardiothoracic Surgery, Herma Heart Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA. sblitwin@chw.org

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|April 17, 2007
PubMed

Insights

The two-patch repair for complete atrioventricularis communis is a reliable surgical method. This technique demonstrates low mortality and minimal need for reoperation in pediatric patients.

Area of Science:

  • Congenital Heart Surgery
  • Pediatric Cardiology
  • Cardiac Surgery Techniques

Background:

  • Complete atrioventricularis communis (CAVC) is a complex congenital heart defect.
  • Surgical repair of CAVC presents significant challenges in pediatric patients.
  • The two-patch repair technique has been utilized for CAVC correction.

Purpose of the Study:

  • To review the outcomes of the two-patch repair for CAVC.
  • To assess the efficacy and safety of this surgical approach in infants and children.
  • To evaluate long-term results, including mortality and reoperation rates.

Main Methods:

  • Retrospective review of surgical cases.
  • Analysis of patient data from October 1988 to December 2005.
  • Evaluation of mortality, morbidity, and reoperation rates following two-patch repair for CAVC.

Main Results:

  • 222 infants and children underwent the two-patch repair for CAVC.
  • Low overall mortality with 6 early (2.7%) and 6 late (2.7%) deaths.
  • 10% of patients required reoperation for various complications, with no need for mitral valve replacement.

Conclusions:

  • The two-patch repair is a reliable and effective surgical technique for complete atrioventricularis communis.
  • This method is associated with low mortality and a low incidence of reoperation.
  • The technique provides durable results in the pediatric population, avoiding late mitral valve replacement.

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