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  • Title: Atrioventricular septal defect with balanced ventricles and malaligned atrial septum: double-outlet right atrium. Report of two cases.
    Author: Alivizatos P, Anderson RH, Macartney FJ, Zuberbuhler JR, Stark J.
    Journal: J Thorac Cardiovasc Surg; 1985 Feb; 89(2):295-7. PubMed ID: 3968913.
    Abstract:
    An unusual form of atrioventricular septal defect was found at operation. The anatomy was that of a primum atrial septal defect with deviation of the atrial septum to the left. Thus from the right atrium both right and left atrioventricular valves could be seen. The left-sided valve was tricuspid. Repair was achieved by closure of the septal commissure of the left-sided valve ("cleft"), excision of the lower part of the atrial septum, and insertion of a pericardial patch. The lower part of the patch was sutured between the left and right atrioventricular valves. A specimen with similar anatomy is also described.
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