Double-barrel right ventricular outflow: tetralogy of Fallot annulus preservation technique

Karl G Reyes; Charles C Cuaso; Reina Bianca M Tan

doi:10.1016/j.athoracsur.2012.05.091

Double-barrel right ventricular outflow: tetralogy of Fallot annulus preservation technique

Ann Thorac Surg. 2012 Sep;94(3):1023-5. doi: 10.1016/j.athoracsur.2012.05.091.

Authors

Karl G Reyes¹, Charles C Cuaso, Reina Bianca M Tan

Affiliation

¹ Center for Congenital Heart Disease, Heart Institute, St. Luke's Medical Center, Taguig City, Metro Manila, Philippines. [email protected]

PMID: 22916765
DOI: 10.1016/j.athoracsur.2012.05.091

Abstract

In patients with tetralogy of Fallot (TOF) repair and a borderline pulmonary valve annulus (PVA) size, surgical repair often necessitates a transannular incision and subsequent placement of a patch with or without a monocusp or, alternatively, a right ventricle-to-pulmonary artery conduit. We discuss here a technique in which the pulmonary valve annulus can be safely preserved, with infrequent postoperative issues as well as the potential for less incidence of right ventricular outflow intervention in the long term.

MeSH terms

Cardiac Surgical Procedures / methods*
Cardiac Valve Annuloplasty
Cardiopulmonary Bypass / methods
Follow-Up Studies
Heart Septal Defects, Ventricular / surgery
Humans
Polyethylene Terephthalates / therapeutic use
Pulmonary Artery / surgery
Pulmonary Valve / diagnostic imaging*
Pulmonary Valve / pathology
Risk Assessment
Sternotomy / methods
Tetralogy of Fallot / diagnostic imaging
Tetralogy of Fallot / surgery*
Treatment Outcome
Ultrasonography, Doppler / methods
Ventricular Outflow Obstruction / prevention & control*

Substances

Polyethylene Terephthalates