title: Late repair of the native pulmonary valve in patients with pulmonary insufficiency after surgery for tetralogy of Fallot.
abstract: Pulmonary regurgitation developing late after tetralogy of Fallot repair is now recognized as a serious threat to the long-term welfare of these patients. This article summarizes our experience with 5 patients who underwent reoperations for treatment of severe pulmonary regurgitation after transannular patch repair of tetralogy of Fallot. In each case, the intraoperative findings revealed anatomy favorable for valve repair and enabled preservation of the native pulmonary valves.
authors.affiliation: Division of Pediatric Cardiac Surgery, Lucile Packard Children's Hospital at Stanford, Palo Alto, California, USA. mainwaring@stanford.edu
authors.forename: Richard D
authors.initials: RD
authors.lastname: Mainwaring
authors.forename: Timothy
authors.initials: T
authors.lastname: Pirolli
authors.forename: Rajesh
authors.initials: R
authors.lastname: Punn
authors.forename: Frank L
authors.initials: FL
authors.lastname: Hanley
mesh_terms: D000293:Adolescent; D006333:Heart Failure / Q000209:etiology; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D017380:Hypertrophy, Right Ventricular / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011664:Pulmonary Valve / Q000002:abnormalities / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*; D014463:Ultrasonography