title: Reconstruction of trileaflet pulmonary valve using autologous pericardium.
abstract: Tetralogy of Fallot with atretic or absent pulmonary valve may require pulmonary valve replacement or reconstruction. We propose a technique of reconstruction of a trileaflet valve at the level of the pulmonary annulus using untreated autologous pericardium. Six cases operated upon, using this technique, had trivial pulmonary regurgitation with a median gradient of 24 mmHg (18-38) across the newly created valve. This approach can be considered in cases with limited availability of more suitable alternatives.
authors: Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. spande@sgpgi.ac.in
authors: Shantanu
authors: S
authors: Pande
authors: Surendra K
authors: SK
authors: Agarwal
authors: Gauranga
authors: G
authors: Majumdar
authors: Mahendra
authors: M
authors: Narwaley
authors: Ram K
authors: RK
authors: Shukla
authors: Mayank
authors: M
authors: Arora
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010496:Pericardium; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014463:Ultrasonography