Surgical repair of the complete form of persistent common atrioventricular canal

Rastelli, G.C.; Ongley, Patrick A.; Kirklin, John W.; McGoon, Dwight C.

doi:10.1016/s0022-5223(19)42953-x

Cited by 154 publications

(18 citation statements)

References 5 publications

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“…Various types of AVSD have been hypothesized to reflect different degrees of damage taking place in the precursor portion of the atrioventricular septum during cardiac development (Goor and Lillehei, 1975;Ugarte et al, 1976;Wenink and Zevallas, 1988) Should this hypothesis be adequate, all types of AVSD were expected in the present study regardless of the incidence. However, without exception the AVSD observed in the present study was of the complete type, especially of type A according to the classification by Rastelli et al (1966). Since we carefully observed the atrioventricular orifice in the present study, it is unlikely that we failed to notice the formation of other types of AVSD.…”

Section: Discussioncontrasting

confidence: 46%

“…The PBL attached to the crest of the ventricular septum (VS), and the ABL was freely floating. The commissure between the ABL and the RAL located at a site relevant to the commissure between AL and SL in the RAVO of controls, which appeared to resemble human AVSD of type A as designated by Rastelli et al (1966). Papillary muscles (PM) in the right ventricle (RV) were incompletely formed, but those in the left ventricle (LV) were similar to those of controls ( Fig.…”

Section: Morphological Characteristics Of Avsdmentioning

confidence: 89%

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Atrioventricular Septal Defect in Rat Fetuses Induced by Administration of Bisdiamine

Tasaka

Okamoto

Takenaka

et al. 1993

Congenital Anomalies

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A high incidence of atrioventricular septal defect was induced in rat fetuses by administration of N, N ‐his (dichloroacetyl)‐1, 8‐octamethylenediamine, bisdiamine, to pregnant Donryu rats. Induction of atrioventricular septal defect was highly dependent on day of bisdiamine administration. When bisdiamine was administered singly on day 9.4 of gestation or consecutively on days 9 and 10 of gestation, the incidence of atrioventricular septal defect in fetuses increased. Survival rate decreased with increase in the amount of bisdiamine administered. Normalized incidence 5 for atrioventricular septal defect, which was calculated as a product of incidence and survival rate, was as high as 54.5% when 175 mg bisdiamine was administered on day 9.4 of gestation. Atrioventricular septal defect thus formed was of the complete type associated with either persistent truncus arteriosus or tetralogy of Fallot, indicating that the conotruncal portion was unexceptionally malformed. The present model is useful for analysis of development and pathogenesis of atrioventricular septal defect and also contributes to clarifying the normal development of atrioventricular valves and septa.

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Section: Discussioncontrasting

confidence: 46%

Section: Morphological Characteristics Of Avsdmentioning

confidence: 89%

Atrioventricular Septal Defect in Rat Fetuses Induced by Administration of Bisdiamine

Tasaka

Okamoto

Takenaka

et al. 1993

Congenital Anomalies

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“…Before 1980 complete forms were repaired with a technique similar to that described by Rastelli in 1968 (n= 17). The bridging leaflets were divided and a pericardial patch was sutured to the ventricular septum.…”

Section: Operative Techniquementioning

confidence: 99%

Operative risk of correction of atrioventricular septal defects.

Rizzoli¹,

Mazzucco²,

Brumana³

et al. 1984

Heart

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“…They studied 30 hearts with this malformation and described 3 distinct types of AVSDs based on the anatomy of the superior common AV valve leaflet and the extent and site of the interventricular communication. These new anatomical observations became an inspiration for the original single-patch repair, the details of which were reported from the Mayo Clinic by Rastelli et al 4 This initial (1955)(1956)(1957)(1958)(1959)(1960)(1961)(1962)(1963)(1964)(1965)(1966)(1967) Mayo Clinic experience with repair of complete AVSDs included 38 patients, divided into 2 groups. The first 31 patients had repair before the Rastelli-Kirklin anatomical study and classification.…”

Section: Introductionmentioning

confidence: 97%

Classic Single-Patch Repair of Atrioventricular Septal Defects

Razzouk

Hasaniya

Bailey

2015

Operative Techniques in Thoracic and Cardiovascular Surgery

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Early surgical outcomes after repair of atrioventricular septal defects have improved significantly over the last 60 years. Preservation of function of the left atrioventricular valve is of significant importance to achieve long-term results. For nearly 40 years, the classic, single-patch technique, as first described by Mayo Clinic investigators, has been our preferred method for repair (of atrioventricular septal defects). The single-patch reconstruction technique (described in this manuscript article), is teachable, reproducible, and reasonably durable. Our most recent 20-year experience (1995-2014) with more than 200 such repairs, and an operative mortality rate of 2.2%, is consistent with other contemporary outcomes. Left atrioventricular valve dysfunction remains the most common late, clinically notable issue.

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Surgical repair of the complete form of persistent common atrioventricular canal

Cited by 154 publications

References 5 publications

Atrioventricular Septal Defect in Rat Fetuses Induced by Administration of Bisdiamine

Atrioventricular Septal Defect in Rat Fetuses Induced by Administration of Bisdiamine

Operative risk of correction of atrioventricular septal defects.

Classic Single-Patch Repair of Atrioventricular Septal Defects

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