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The matter of “unbalance” in right dominant atrioventricular septal defect


1 Cardiac Surgery Department, “Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, Argentina
2 Pediatric Cardiology Department, “Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, Argentina
3 Physics Department, Center of Natural and Human Science, Federal University of ABC, San Pablo, Brazil

Correspondence Address:
Dr. Ignacio Lugones
“Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, 40 Manuel Montes de Oca Ave, C1270AAN Buenos Aires
Argentina
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_107_18

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Year : 2019  |  Volume : 12  |  Issue : 2  |  Page : 132-134

 

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Unbalance in atrioventricular septal defect can be found in more than one anatomic level and in different degrees at each level. The definition of “unbalance” has historically been focused in comparing the dimensions of main cardiac structures, such as the atrioventricular valve and the ventricles. However, the hemodynamic aspects of unbalance need to be considered as having, at least, similar relevance. New concepts and already described parameters must be combined and understood as a whole to help the surgical decision-making process.






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1 Cardiac Surgery Department, “Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, Argentina
2 Pediatric Cardiology Department, “Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, Argentina
3 Physics Department, Center of Natural and Human Science, Federal University of ABC, San Pablo, Brazil

Correspondence Address:
Dr. Ignacio Lugones
“Dr. Pedro de Elizalde” General Children's Hospital, Buenos Aires, 40 Manuel Montes de Oca Ave, C1270AAN Buenos Aires
Argentina
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_107_18

Rights and Permissions

Unbalance in atrioventricular septal defect can be found in more than one anatomic level and in different degrees at each level. The definition of “unbalance” has historically been focused in comparing the dimensions of main cardiac structures, such as the atrioventricular valve and the ventricles. However, the hemodynamic aspects of unbalance need to be considered as having, at least, similar relevance. New concepts and already described parameters must be combined and understood as a whole to help the surgical decision-making process.






[FULL TEXT] [PDF]*


        
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