Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T18:42:43.944Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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).

References

1.Blalock, A, Taussig, HB. The surgical treatment of malformation of the heart in which there is pulmonary stenosis or pulmonary atresia. JAMA 1945; 128: 189.CrossRefGoogle Scholar
2.Lillehei, CW, Cohen, M, Warden, HE, et al. Direct visualization intracardiac surgical correction of the tetralogy of Fallot, pantology of Fallot and pulmonary atresia defects. Ann Surg 1955; 142: 418.CrossRefGoogle Scholar
3.Kirklin, JW, DuShane, JW, Patrick, RI, et al. Intracardiac surgery with the aid of a mechanical pump-oxygenator system (Gibbon type): report of eight cases. Mayo Clin Proc 1955; 20: 201.Google Scholar
4.Kirklin, JW, Ellis, FH Jr, McGoon, DC, DuShane, JW, Swan, HFC. Surgical treatment for tetralogy of Fallot by open intracardiac repair. J Thorac Surg 1959; 37: 22–51.CrossRefGoogle ScholarPubMed
5.Ammash, NM, Dearani, JA, Burkhart, HM, Connolly, HM. Pulmonary regurgitation after tetralogy of Fallot repair: clinical features, sequelae, and timing of pulmonary valve replacement. Congenit Heart Dis 2007; 2: 386–403.CrossRefGoogle ScholarPubMed
6.Gatzoulis, MA, Balaji, S, Webber, SA, et al. Risk factors of arrhythmia and sudden cardiac death late after repair of tetralogy of Fallot: multicentre study. Lancet 2000; 356: 975–981.CrossRefGoogle ScholarPubMed
7.Kane, C, Kogon, B, Pernetz, M, et al. Left ventricular function improves after pulmonary valve replacement in patients with previous right ventricular outflow tract reconstruction and biventricular disfunction. Tex Heart Inst J 2011; 38: 234–237.Google Scholar
8.Jonas, R. Early primary repair of tetralogy of Fallot. Semin Thorac Cardiovasc Surg Pediatr Pediatric Card Surg Annu 2009; 12: 39–47.CrossRefGoogle Scholar
9.Ring, JC, Kulik, TJ, Burke, BA, et al. Morphologic changes induced by dilation of the pulmonary valve annulus with overlarge balloons in normal newborn lambs. Am J Cardiol 1985; 55: 210–214.CrossRefGoogle Scholar
10.Sluysmans, T, Neven, B, Rubay, J, et al. Early balloon dilatation of the pulmonary valve in infants with tetralogy of Fallot. Risks and benefits. Circulation 1995; 91: 1506–1511.CrossRefGoogle ScholarPubMed
11.Robinson, JD, Rathod, RH, Brown, DW, et al. The evolving role of intraoperative balloon pulmonary valvuloplasty in valve-sparing repair of tetralogy of Fallot. J Thorac Cardiovasc Surg 2011; 142: 1367–1373.CrossRefGoogle ScholarPubMed
12.Bacha, E. Valve-sparing options in tetralogy of Fallot surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2012; 15: 24–26.CrossRefGoogle ScholarPubMed
13.Turrentine, MW, McCarthy, RP, Vijay, P, McConnell, KW, Brown, JW. PTFE monocusp valve reconstruction of the right ventricular outflow tract. Ann Thorac Surg 2002; 73: 871–879.CrossRefGoogle ScholarPubMed
14.Gundry, SR, Razzouk, AJ, Boskind, JF, Bansal, R, Bailey, LL. Fate of the pericardial monocusp pulmonary valve for right ventricular outflow tract reconstruction (Early function, late failure without obstruction). J Thorac Cardiovasc Surg 1994; 107: 908–912.CrossRefGoogle ScholarPubMed
15.Hayabuchi, Y, Mori, K, Kitagawa, T, Sakata, M, Kagami, S. Polytetrafluoroethylene graft calcification in patients with surgically repaired congenital heart disease: evaluation using multidetector-row computed tomography. Am Heart J 2007; 153: 806.e1–806.e8.CrossRefGoogle ScholarPubMed
16.Mavroudis, C. Pulmonary valve preservation strategies for tetralogy of Fallot repair. Oper Tech Thorac Cardiovasc Surg 2013; 18: 305–315.CrossRefGoogle Scholar
17.Rao, V, Kadletz, M, Hornberger, LK, Freedom, RM, Black, MD. Preservation of the pulmonary valve complex in tetralogy of Fallot: how small is too small? Ann Thor Surg 2000; 69: 176–180.CrossRefGoogle Scholar
18.Ilbawi, MN, Idriss, FS, DeLeon, SY, et al. Factors that exaggerate the deleterious effects of pulmonic insufficiency on the right ventricle after tetralogy repair, surgical implications. J Thorac Cardiovasc Surg 1987; 93: 36–44.CrossRefGoogle ScholarPubMed
19.Hirsch, JC, Mosca, RS, Bove, EL. Complete repair of tetralogy of Fallot in the neonate: results in a modern era. Ann Surg 2000; 232: 508–514.CrossRefGoogle Scholar
20.Pigula, F, Khalil, P, Mayer, J, Del Nido, P, Jonas, R. Repair of tetralogy of Fallot in neonates and young infants. Circulation 1999; 100 (Suppl II): II–157–II–161.CrossRefGoogle ScholarPubMed
21.Fuller, S. Tetralogy of Fallot and pulmonary valve replacement: timing and techniques in the asymptomatic patient. Semin Thorac Surg Pediatr Card Surg Annu 2014; 17: 30–37.Google ScholarPubMed
22.Discigil, B, Dearani, JA, Puga, FJ, et al. Late pulmonary valve replacement after repair of tetralogy of Fallot. J Thorac Cardiovasc Surg 2001; 121: 344–351.CrossRefGoogle ScholarPubMed
23.McElhinney, DB, Hellenbrand, WE, Zahn, EM, et al. Short- and medium-term outcomes after transcatheter pulmonary valve placement in the expanded multicenter US melody valve trial. Circulation 2010; 122: 507–516.CrossRefGoogle Scholar
24.Quintessenza, JA, Jacobs, JP, Chai, PJ, Morrell, VO, Lindberg, H. Polytetrafluoroethylene bicuspid pulmonary valve implementation experience 126 patients. World J Pediatr Congenit Heart Surg 2010; 1: 20–27.CrossRefGoogle Scholar
25.Papadopoulos, N, Esmaeili, A, Zierer, A, Bakhtiary, F, Ozaslan, F, Moritz, A. Secondary repair of incompetent pulmonary valves. Ann Thorac Surg 2009; 87: 1879–1884.CrossRefGoogle ScholarPubMed
26.Mainwaring, R, Pirolli, T, Punn, R, Hanley, F. Late repair of the native pulmonary valve in patients with pulmonary insufficiency after surgery for tetralogy of Fallot. Ann Thorac Surg 2012; 93: 677–679.CrossRefGoogle ScholarPubMed
27.Prêtre, R, Rosser, B, Mueller, C, Kretschmar, O, Dave, H. Recycling of the pulmonary valve: an elegant solution for secondary pulmonary regurgitation in patients with tetralogy of Fallot. Ann Thorac Surg 2012; 94: 850–853.CrossRefGoogle ScholarPubMed
28.Park, CS, Lee, C-H, Lee, YO, Kim, G-B, Kim, J-T, Kim, YJ. Pulmonary valve repair late after right ventricular outflow tract reconstruction in children and adolescents. Inter CardioVasc Thorac Surg 2010; 10: 906–909.CrossRefGoogle ScholarPubMed
29.Mavroudis, C, Mavroudis, CD, Frost, J. Native pulmonary valve restoration after remote tetralogy of Fallot repair: how to do it. World J Pediatr Congenit Heart Surg 2013; 4: 422–426.CrossRefGoogle ScholarPubMed