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Simplified primum ASD closure technique in complete VSD repair: shallow suture crossing on the AV node

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Abstract

The primum atrial septal defect suture line adjacent to the crux is performed carefully with various techniques to avoid atrioventricular block in repair of complete atrioventricular septal defect. We describe our technical modification to simplify the shallow suture line only into the endocardium above the atrioventricular node without conduction disturbance.

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References

  1. Daebritz SH. Correction of complete atrioventricular septal defects with two patch technique. Oper Tech Thorac Cardiovasc Surg. 2004;9:208–20.

    Article  Google Scholar 

  2. Anderson RH, Yanni J, Boyett MR, Chandler NJ, Dobrzynski H. The anatomy of the cardiac conduction system. Clin Anat. 2009;22(1):99–113.

    Article  PubMed  Google Scholar 

  3. Anderson RH, Ho SY, Becker AE. Anatomy of the human atrioventricular junctions revisited. Anat Rec. 2000;260(1):81–91.

    Article  CAS  PubMed  Google Scholar 

  4. Ho SY, Gerlis LM, Toms J, Lincoln C, Anderson RH. Morphology of the posterior junctional area in atrioventricular septa1 defects. Ann Thorac Surg. 1992;54(2):264–70.

    Article  CAS  PubMed  Google Scholar 

  5. Kurosawa H, Becker AE. Atrioventricular septal defect. In: Atrioventricular conduction in congenital heart disease. Tokyo: Springer; 1987.

    Chapter  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, 860 Urushiyama Aoi-Ku, Shizuoka, 420-8660, Japan

    Hiroshi Koshiyama, Motonori Ishidou, Hiroki Ito, Keiichi Hirose, Kisaburo Sakamoto & Akio Ikai

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  1. Hiroshi Koshiyama
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  2. Motonori Ishidou
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  3. Hiroki Ito
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  4. Keiichi Hirose
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  5. Kisaburo Sakamoto
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  6. Akio Ikai
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Correspondence to Akio Ikai.

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Supplementary file1 Operative video describing our suturing technique (MP4 66449 KB)

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Koshiyama, H., Ishidou, M., Ito, H. et al. Simplified primum ASD closure technique in complete VSD repair: shallow suture crossing on the AV node. Gen Thorac Cardiovasc Surg 71, 321–322 (2023). https://doi.org/10.1007/s11748-022-01901-8

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  • DOI: https://doi.org/10.1007/s11748-022-01901-8

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