Prosthetic mitral valve replacement after atrioventricular septal defect repair: a technique for small children Makoto Ando, MD, Charles D Fraser, MD The Annals of Thoracic Surgery Volume 72, Issue 3, Pages 907-909 (September 2001) DOI: 10.1016/S0003-4975(00)02548-0
Fig 1 (A) View of previous patch through right atriotomy. (B) The former atrial septal defect patch was unhinged and the left atrioventricular valve was exposed. (C) The patch was cut longitudinally toward the crest of the ventricular septal defect. (D) A patch made of autologous pericardium was sewn to augment the ventricular septal defect patch, which was carried up onto the atrial septal defect patch. A 17-mm St. Jude Medical hemodynamic plus (HP) prosthesis was sewn to the newly created annulus. (E) The atrial septal defect patch was augmented and reattached to the septum. The Annals of Thoracic Surgery 2001 72, 907-909DOI: (10.1016/S0003-4975(00)02548-0)