{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:13:22Z","timestamp":1758474802593},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2008,8,19]],"date-time":"2008-08-19T00:00:00Z","timestamp":1219104000000},"content-version":"unspecified","delay-in-days":3883,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[1998,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tetralogy of Fallot, when associated with atrioventricular septal defect permitting shunting at ventricular level, represents a complex cyanotic congenital malformation. Experience with surgical repair is limited, and results vary considerably. Between 1984 and 1996, we repaired 14 consecutive patients with this combination seen in our center. Their ages ranged from 8 months to 21 years (median 7.4 years). Six (42.9%) had Down's syndrome. In eight patients the correct diagnosis was made using echocardiogra phy alone. In the remaining six patients, who had previously-constructed arterial shunts and\/or suspected pulmonary arterial stenosis, catheterization and angiocardiography were also performed. The repair consisted of double patch closure of the septal defect, reconstruction of two atrioventricular orifices, and relief of pulmonary stenosis at all levels. In five patients with a hypoplastic pulmonary trunk, a monocusp transannular patch (four patients) or an allograft (one patient) was used for restroration of continuity from the right ventricle to the pulmonary arteries. Patch enlargement of one or both pulmonary arteries was necessary in five patients. One patient (7.1%) died early, and another late. The twelve surviving (85.8%) patients have been followed for 1.2\u201312.5 years after surgery (median 4.9 years, mean 5.9 \u00b1 3.9 years). During the follow-up, reoperation was necessary for repair of residual ventricular septal defect and pulmonary regurgitation in two patients, and closure of an atrial septal defect and alteration to left atrioventricular valvar regurgitation in one patient. Seven patients are in class I of the New York Heart Association, four in class II, and one in class III. Tetralogy of Fallot associated with atrioventricular septal defect can be corrected with low mortality and good long-term results. Residual lesions, however, have a tendency to progress, especially when seen in combination. After surgery, all patients need long-term close follow-up.<\/jats:p>","DOI":"10.1017\/s1047951100004728","type":"journal-article","created":{"date-parts":[[2008,8,31]],"date-time":"2008-08-31T16:26:11Z","timestamp":1220199971000},"page":"105-112","source":"Crossref","is-referenced-by-count":7,"title":["Repair of tetralogy of Fallot associated with atrioventricular septal defect"],"prefix":"10.1017","volume":"8","author":[{"given":"Tom\u00e1s\u0306","family":"Tl\u00e1skal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bohumil","family":"Huc\u0306\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kostelka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00e1clav","family":"Chaloupeck\u00fd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Marek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Tax","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Janou\u00e0ek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladim\u00edr","family":"Ku\u00e8era","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaroslav","family":"Hruda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleg","family":"Reich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"S\u0306kovr\u00e1nek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,8,19]]},"reference":[{"key":"S1047951100004728_ref026","unstructured":"26. Gundry SR , Razzouk AJ , Boskind JF , Bansal R , Bailey LL ."},{"key":"S1047951100004728_ref025","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1016518"},{"key":"S1047951100004728_ref023","doi-asserted-by":"publisher","DOI":"10.1007\/BF02427048"},{"key":"S1047951100004728_ref022","first-page":"296","article-title":"Anatomic observations on complete form of persistent common atrioventricular canal with special references to atrioventricular valves","volume":"41","author":"Rastelli","year":"1966","journal-title":"Mayo Clin Proc"},{"key":"S1047951100004728_ref021","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.71.6.579"},{"key":"S1047951100004728_ref020","first-page":"123","volume-title":"Perspectives in Pediatric Cardiology","volume":"2","author":"Roux","year":"1989"},{"key":"S1047951100004728_ref018","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64726-1"},{"key":"S1047951100004728_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62730-0"},{"key":"S1047951100004728_ref016","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62790-7"},{"key":"S1047951100004728_ref015","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/S0022-5223(19)38458-2","article-title":"Complete atrioventricular canal associated with tetralogy of Fallot","volume":"87","author":"Uretzky","year":"1984","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951100004728_ref012","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/S0022-5223(19)37895-X","article-title":"Tetralogy of Fallot with type C complete atrioventricular canal","volume":"79","author":"Binet","year":"1980","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951100004728_ref011","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0022-5223(19)41374-3","article-title":"Successful correction of a complete form of atrioventricular canal associated with tetralogy of Fallot: case report","volume":"74","author":"Zaravella","year":"1977","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951100004728_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62692-6"},{"key":"S1047951100004728_ref008","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0022-5223(19)38980-9","article-title":"Determinants of early and late results of repair of atrioventricular septal (canal) defects","volume":"84","author":"Studer","year":"1982","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951100004728_ref007","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951100010428"},{"key":"S1047951100004728_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70078-1"},{"key":"S1047951100004728_ref001","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.61.6.1142"},{"key":"S1047951100004728_ref024","unstructured":"24. Tl\u00b4skal T , Hu\u010d\u00ed B , Marek J , Chaloupeck\u00fd V , Kostelka M , Janou\u02d8ek J , Skovr\u00b4nek J , Hruda J . Individualized repair of the left atrioventricular valve in spectrum of atrioventricular septal defect. J Cardiovasc Surg 1996, in press."},{"key":"S1047951100004728_ref019","first-page":"299","volume-title":"Paediatric Cardiology. Atrioventricular Septal Defects","author":"Parenzan","year":"1988"},{"volume-title":"Cardiac surgery of the neonate and infant","year":"1994","author":"Castaneda","key":"S1047951100004728_ref004"},{"key":"S1047951100004728_ref014","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61484-1"},{"key":"S1047951100004728_ref013","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/S0022-5223(19)39460-7","article-title":"Results of total correction of tetralogy of Fallot with complete atrioventricular canal","volume":"81","author":"Arciniegas","year":"1981","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951100004728_ref010","first-page":"34","article-title":"Atrioventricular septal defect complicated by right ventricular outflow tract obstruction:analysis of risk factors regarding surgical repair","volume":"30","author":"Vogel","year":"1989","journal-title":"J Cardiovasc Surg"},{"volume-title":"Cardiac Surgery","year":"1993","author":"Kirklin","key":"S1047951100004728_ref003"},{"key":"S1047951100004728_ref002","first-page":"199","article-title":"Complete atrioventricular canal associated with conotruncal malformations: anatomical observations in 13 specimens","volume":"9","author":"Thiene","year":"1979","journal-title":"Europ J Cardiol"},{"key":"S1047951100004728_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70395-0"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951100004728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T21:53:11Z","timestamp":1588888391000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951100004728\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,1]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1998,1]]}},"alternative-id":["S1047951100004728"],"URL":"https:\/\/doi.org\/10.1017\/s1047951100004728","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[1998,1]]}}}