Complete AVSD Repair with Two-Patch Technique: Step-by-Step Operative Sequence

👉The displaced AV node and conduction axis define the critical landmarks during ventricular septal patch placement.

👉The core suture sequence is VSD patch → common AV valve leaflet → ASD patch, reconstructing both septa around the valve.

👉After LAVV cleft closure and valve assessment, the ASD patch completes atrial septation and the two-patch repair.