Beating heart replacement of the pulmonary valve in a patient with surgically corrected Tetralogy of Fallot.
We describe the case of a young man who underwent anatomical correction of Tetralogy of Fallot in childhood. The patient developed severe pulmonary valve regurgitation, moderate tricuspid regurgitation and dilation of the right heart chambers. He underwent a redo sternotomy, replacement of the pulmonary valve and tricuspid annuloplasty with beating heart under extracorporeal circulation. Although this technique is more technically demanding, it avoids the use of cardioplegia and the complications of myocardial ischemia and reperfusion.
Mitropoulos
Fotios
F
Athens Medical Center, Greece. fotiosmitropoulos@yahoo.com
Kanakis
Meletios
M
Davlouros
Periklis
P
Dellos
Christos
C
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012092:Replantation; D013771:Tetralogy of Fallot / Q000601:surgery*; D014463:Ultrasonography