Double-barrel right ventricular outflow: tetralogy of Fallot annulus preservation technique.
In patients with tetralogy of Fallot (TOF) repair and a borderline pulmonary valve annulus (PVA) size, surgical repair often necessitates a transannular incision and subsequent placement of a patch with or without a monocusp or, alternatively, a right ventricle-to-pulmonary artery conduit. We discuss here a technique in which the pulmonary valve annulus can be safely preserved, with infrequent postoperative issues as well as the potential for less incidence of right ventricular outflow intervention in the long term.
Center for Congenital Heart Disease, Heart Institute, St. Luke's Medical Center, Taguig City, Metro Manila, Philippines. kgreyes@stluke.com.ph
Karl G
KG
Reyes
Charles C
CC
Cuaso
Reina Bianca M
RB
Tan
D006348:Cardiac Surgical Procedures / Q000379:methods*; D058385:Cardiac Valve Annuloplasty; D002315:Cardiopulmonary Bypass / Q000379:methods; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D011651:Pulmonary Artery / Q000601:surgery; D011664:Pulmonary Valve / Q000000981:diagnostic imaging* / Q000473:pathology; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods; D014694:Ventricular Outflow Obstruction / Q000517:prevention & control*
D011093:Polyethylene Terephthalates