PMID- 24088923 OWN - NLM STAT- MEDLINE DCOM- 20150623 LR - 20190608 IS - 2186-1005 (Electronic) IS - 1341-1098 (Linking) VI - 20 IP - 5 DP - 2014 TI - Surgical management of complete atrioventricular septal defect with tetralogy of fallot. PG - 341-6 AB - PURPOSE: The objective of this report is to evaluate our surgical approach to complete atrioventricular septal defect with tetralogy of Fallot (TOF) and to determine the best treatment for this malformation. METHODS: From 2007 to 2012, 17 children underwent surgical correction of complete atrioventricular septal defect with TOF. Nine of these patients underwent complete correction, two underwent one and a half ventricle repair, and six underwent univentricular repair. RESULTS: There was 1 in-hospital death and 1 late death. Patients with lower weight required longer intensive care unit stay (P <0.05; r = -0.834). Follow-up data were available for all patients who survived the operation (range, 3-60 months). The Kaplan-Meier curve indicated that 5-year survival was 88.2%. All survivors remained in good condition in New York Heart Association (NYHA) class I or II. CONCLUSION: Complete repair of atrioventricular septal defect with TOF has got favorable outcomes in terms of mortality and reoperation rate. Unbalanced atrioventricular septal defect with TOF can be managed well with one and a half ventricle repair. Two-patch technique through a transatrial approach alone is a good treatment choice for patients. Management of right ventricular outflow tract (RVOT) is similar to that of isolated TOF. FAU - Hu, Renjie AU - Hu R AD - Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Zhang, Haibo AU - Zhang H FAU - Xu, Zhiwei AU - Xu Z FAU - Liu, Jinfen AU - Liu J FAU - Su, Zhaokang AU - Su Z FAU - Ding, Wenxiang AU - Ding W LA - eng PT - Journal Article DEP - 20131003 PL - Japan TA - Ann Thorac Cardiovasc Surg JT - Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia JID - 9703158 RN - Complete atrioventricular septal defect SB - IM MH - *Abnormalities, Multiple MH - Body Weight MH - *Cardiac Surgical Procedures/adverse effects/mortality MH - Female MH - Heart Septal Defects MH - Hospital Mortality MH - Humans MH - Infant MH - Intensive Care Units MH - Kaplan-Meier Estimate MH - Length of Stay MH - Male MH - Mitral Valve Insufficiency/diagnosis/mortality/*surgery MH - Retrospective Studies MH - Risk Factors MH - Tetralogy of Fallot/diagnosis/mortality/*surgery MH - Time Factors MH - Treatment Outcome EDAT- 2013/10/04 06:00 MHDA- 2015/06/24 06:00 CRDT- 2013/10/04 06:00 PHST- 2013/10/04 06:00 [entrez] PHST- 2013/10/04 06:00 [pubmed] PHST- 2015/06/24 06:00 [medline] AID - DN/JST.JSTAGE/atcs/oa.12-02198 [pii] AID - 10.5761/atcs.oa.12-02198 [doi] PST - ppublish SO - Ann Thorac Cardiovasc Surg. 2014;20(5):341-6. doi: 10.5761/atcs.oa.12-02198. Epub 2013 Oct 3.