{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:49:30Z","timestamp":1780444170588,"version":"3.54.1"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Repair of complete atrioventricular canal (CAVC) with tetralogy of Fallot (TOF) is a challenging operation increasingly being performed as a complete, primary repair in infancy. Previous studies have focused on perioperative outcomes; however, midterm valve function, ventricular function, and residual obstruction have received little attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 20 patients who underwent CAVC\/TOF repair (January 2005 to December 2014). A two-patch repair was used in all patients to correct the CAVC defect. Tetralogy of Fallot repair included transannular patch in 11 (65%) patients and valve-sparing in 6 (35%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average age at surgery was 72 \u00b1 122 weeks, 40% were male, and 80% had trisomy 21. Mean echo follow-up was 3.0 \u00b1 3.0 years. There were no in-hospital or late mortalities. The rate of reoperation was 20%. At the latest follow-up, moderate left atrioventricular valve regurgitation was present in three (15%) patients and mild stenosis present in seven (35%) patients. One (5%) patient had moderate right ventricular outflow tract (RVOT) obstruction. The valve-sparing population was smaller at the time of surgery than the non-valve-sparing cohort (body surface area: 0.28 \u00b1 0.04 vs 0.42 \u00b1 0.11, P = .002) and less likely to have had a previous shunt (0% vs 64%, P = .01). Among the valve-sparing patients (six), at the latest follow-up, moderate pulmonary insufficiency was present in two (33%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Repair of CAVC concomitant with TOF can be performed with low mortality and acceptable perioperative morbidity. Management of the RVOT remains a challenge for the long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135116682719","type":"journal-article","created":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T19:22:14Z","timestamp":1490210534000},"page":"189-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Cardiac Function After Tetralogy of Fallot\/Complete Atrioventricular Canal Repair"],"prefix":"10.1177","volume":"8","author":[{"given":"Elizabeth H.","family":"Stephens","sequence":"first","affiliation":[{"name":"Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Tingo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, St Christopher\u2019s Hospital for Children, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Najjar","sequence":"additional","affiliation":[{"name":"Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betul","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Texas Children\u2019s Hospital, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phanie","family":"Levasseur","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Dayton","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cornell University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph S.","family":"Mosca","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, New York University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Chai","sequence":"additional","affiliation":[{"name":"Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan M.","family":"Quaegebeur","sequence":"additional","affiliation":[{"name":"Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emile A.","family":"Bacha","sequence":"additional","affiliation":[{"name":"Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,3,22]]},"reference":[{"key":"bibr1-2150135116682719","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38458-2"},{"key":"bibr2-2150135116682719","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63072-X"},{"key":"bibr3-2150135116682719","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39460-7"},{"key":"bibr4-2150135116682719","doi-asserted-by":"publisher","DOI":"10.1111\/j.0886-0440.2004.04031.x"},{"issue":"1","key":"bibr5-2150135116682719","first-page":"17","volume":"41","author":"Schmid FX","year":"2000","journal-title":"J Cardiovasc Surg 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