Valve-Sparing or Valve Reconstruction Options in Tetralogy of Fallot Surgery

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• 作者：Emile Bacha ; ^{eb2709@columbia.edu}
• 刊名：Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：20
• 期：Complete
• 页码：79-83
• 全文大小：472 K
• 卷排序：20

文摘

This review deals with a relatively new field in congenital heart surgery, valve preservation or, in cases of more severe pulmonary valve stenosis or dysplasia, valve reconstruction during tetralogy of Fallot repair. We describe the stepwise approach utilized, starting with simple maneuvers such as commissurotomy and valve dilation for mild pulmonary stenosis to commissurotomy and intraoperative balloon dilation for moderate stenosis, and finally transection of the annulus and valve reconstruction using a patch that acts as a modified monocusp. Results are presented and have been gratifying.