Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double-Outlet Right Ventricle

Complete repair of TOF/DORV-AVSD is standard of care and associated with low early mortality rate in the current era, with reasonable long-term outcome. SV palliation continues to have significant risk. The presence of AVV regurgitation is a significant risk factor for death and reoperation.