Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double- Outlet Right Ventricle Vijayakumar Raju, MD, Harold M. Burkhart,

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Presentation transcript:

Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double- Outlet Right Ventricle Vijayakumar Raju, MD, Harold M. Burkhart, MD, Natalie Rigelman Hedberg, MD, Benjamin W. Eidem, MD, Zhuo Li, MS, Heidi Connolly, MD, Hartzell V. Schaff, MD, Joseph A. Dearani, MD The Annals of Thoracic Surgery Volume 95, Issue 6, Pages 2079-2085 (June 2013) DOI: 10.1016/j.athoracsur.2013.02.016 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagram of tetralogy of Fallot/double-outlet right ventricle-atrioventricular septal defect (AVSD) shows overriding of the aorta, right ventricular outflow obstruction, and complete atrioventricular septal defect. (OPASD = ostium primum atrial septal defect; PT = pulmonary trunk; VSD = ventricular septal defect; ZOA = zone of apposition.) The Annals of Thoracic Surgery 2013 95, 2079-2085DOI: (10.1016/j.athoracsur.2013.02.016) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Survival curves are shown for the complete 2-ventricle repair (CR) group and the single-ventricle (SV) pathway group (p = 0.90). The Annals of Thoracic Surgery 2013 95, 2079-2085DOI: (10.1016/j.athoracsur.2013.02.016) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Freedom from reoperation is shown for the complete 2-ventricle repair (CR) group and the single-ventricle (SV) pathway group (p = 0.10). The Annals of Thoracic Surgery 2013 95, 2079-2085DOI: (10.1016/j.athoracsur.2013.02.016) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Diagram shows outcome of patients in each group. (AVV = atrioventricular valve; CAVV = common atrioventricular valve; LV EF = left ventricular ejection fraction; NYHA = New York Heart Association.) The Annals of Thoracic Surgery 2013 95, 2079-2085DOI: (10.1016/j.athoracsur.2013.02.016) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions