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Commentary: Atrioventricular Valve Repair in Univentricular Hearts: No Longer a Bridge Too Far?

  • Edward Buratto
    Correspondence
    Address reprint requests to Edward Buratto, MBBS, PhD, Department of Cardiac Surgery, Royal Children's Hospital, Flemington Road, Parkville, VIC 3052, Melbourne, Australia.
    Affiliations
    Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia

    Department of Pediatrics, University of Melbourne, Melbourne, Australia

    Department of Cardiothoracic Surgery, The Royal Melbourne Hospital, Melbourne, Australia
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  • Igor E. Konstantinov
    Affiliations
    Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia

    Department of Pediatrics, University of Melbourne, Melbourne, Australia
    Search for articles by this author
      Repair techniques that effectively stabilize the atrioventricular valve annulus in patients with common atrioventricular valve may reduce the risk of recurrent valve failure.
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      Linked Article

      • Repair of Common Atrioventricular Valve in Univentricular Circulation Using Adjustable Annular Bridging Technique
        Operative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 3
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          The main reason for common atrioventricular valve regurgitation is the enlargement of the valve annulus contralaterally to the aorta and pulmonary artery. Edge-to-edge repair can be used to address the regurgitation; however, there might be potential disadvantage that a fixed bridging leaflet could have a restrictive motion, leading to recurrence of atrioventricular valve regurgitation. To avoid this issue and address the anteroposterior dilatation of the annulus, we have developed an adjustable annular bridging technique.
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