Biventricular Conversion After Single-Ventricle Palliation in Unbalanced Atrioventricular Canal Defects  Meena Nathan, MD, Hua Liu, MS, Frank A. Pigula,

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Biventricular Conversion After Single-Ventricle Palliation in Unbalanced Atrioventricular Canal Defects  Meena Nathan, MD, Hua Liu, MS, Frank A. Pigula, MD, Francis Fynn-Thompson, MD, Sitaram Emani, MD, Christopher A. Baird, MD, Gerald Marx, MD, John E. Mayer, MD, Pedro J. del Nido, MD  The Annals of Thoracic Surgery  Volume 95, Issue 6, Pages 2086-2096 (June 2013) DOI: 10.1016/j.athoracsur.2013.01.075 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative (Pre) and postoperative (Post) left ventricular end-diastolic volumes (LVEDV) in patients with right-dominant unbalanced common atrioventricular canal defect who underwent biventricular conversion (BiV). The Annals of Thoracic Surgery 2013 95, 2086-2096DOI: (10.1016/j.athoracsur.2013.01.075) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Flow chart of outcomes in patients who underwent biventricular conversion after single-ventricle palliation for unbalanced complete atrioventricular canal (UCAVC): anatomy and syndromes and reinterventions. (cath = catheterization; L = left; R = right.) The Annals of Thoracic Surgery 2013 95, 2086-2096DOI: (10.1016/j.athoracsur.2013.01.075) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Survival at midterm follow-up and (B) freedom from reintervention after biventricular conversion from single-ventricle palliation in unbalanced common atrioventricular canal defects. The Annals of Thoracic Surgery 2013 95, 2086-2096DOI: (10.1016/j.athoracsur.2013.01.075) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Survival at midterm follow-up and (B) freedom from reintervention after single-ventricle palliation (SV), primary two-ventricle repair (BiV), and biventricular conversion from single-ventricle palliation (SV to BiV) in unbalanced common atrioventricular canal defects. The Annals of Thoracic Surgery 2013 95, 2086-2096DOI: (10.1016/j.athoracsur.2013.01.075) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Proposed algorithm for management of unbalanced common atrioventricular canal defects. (AVV = atrioventricular valve; AVVI = atrioventricular valve index; CAVVA = common atrioventricular valve area; L = left; LAVVA = left atrioventricular valve area; LV = left ventricle; PA = pulmonary artery; R = right; RV = right ventricle; UCAVC = unbalanced common atrioventricular canal.) The Annals of Thoracic Surgery 2013 95, 2086-2096DOI: (10.1016/j.athoracsur.2013.01.075) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions