Severe pulmonary valve incompetence late after debanding: repair by bicuspidization.
We report a simple valve repair for severe pulmonary incompetence in a 25-year-old patient. The patient had been operated on twice before for ventricular septal defect and coarctation of the aorta. The first operation consisted of pulmonary artery banding and coarctectomy and end-to-end anastomosis at 4 months, followed by debanding and transinfundibular ventricular septal defect closure at 6 years of age. Massive pulmonary incompetence was due to destruction of one valve cusp with the right ventricular outflow tract and pulmonary artery dilated secondarily. Repair consisted of pulmonary valve bicuspidization and right ventricular remodelling.
Department of Thoracic, Cardiac and Vascular Surgery, Children's Hospital, University of Tübingen, Tübingen, Germany.
Engin
E
Usta
Renate
R
Kaulitz
Shahriar
S
Salehi-Gilani
Michael
M
Hofbeck
Gerhard
G
Ziemer
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000792:Angiography / Q000379:methods; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000601:surgery; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D018570:Risk Assessment; D013908:Thoracotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome