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Pulmonary valve preservation and restoration strategies for repair of tetralogy of Fallot*

Published online by Cambridge University Press:  29 December 2014

Constantine D. Mavroudis ,
Jennifer Frost  and
Constantine Mavroudis
Constantine D. Mavroudis*
Affiliation:
Division of Cardiovascular Surgery, University of Pennsylvania Department of Surgery, Philadelphia, Pennsylvania, United States of America
Jennifer Frost
Affiliation:
Children’s of Minnesota; St Paul, Minnesota, United States of America
Constantine Mavroudis
Affiliation:
Johns Hopkins Children’s Heart Surgery; Florida Hospital for Children, Orlando, Florida, United States of America
*
Correspondence to: C. Mavroudis, MD, Johns Hopkins Children’s Heart Surgery, Florida Hospital for Children, 2501N Orange Ave, Suite 540, Orlando, FL 32804, United States of America. Tel: +407 303 3697; Fax: 407 303 3634; E-mail: Constantine.Mavroudis.MD@flhosp.org
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Abstract

Despite tremendous advances in surgical treatment of tetralogy of Fallot, augmenting the small right ventricular outflow tract remains a challenge. Transannular patch augmentation revolutionised surgical management, but did so at the expense of rendering patients with pulmonary insufficiency and the resulting problems associated therewith. Recent surgical efforts have focused on pulmonary valve preservation at initial correction and pulmonary valve restoration after transannular patching, with favourable results. In this manuscript, we review methods of pulmonary valve preservation and restoration.

Keywords

Congenital heart diseasepulmonary insufficiencyright ventricular outflow tract
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1088 - 1094
Copyright
© Cambridge University Press 2014 

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Footnotes

*

Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

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