title: "V-PLASTY": a novel technique to reconstruct pulmonary valvular and annular stenosis in patients with right ventricular outflow tract obstruction.
abstract: BACKGROUND
  The goal of repair of right ventricular outflow tract obstruction with or without Tetralogy of Fallot (TOF) is to eliminate valvular and/or subvalvular obstruction. However, this operation has a high risk of late complication of pulmonary insufficiency. In this study, we aimed to present early period results of our new technique that we call "V-Plasty" developed to prevent pulmonary insufficiency after pulmonary valve reconstruction in selected patients.
  
  
  METHODS
  Between January 2006 and January 2010, we performed V-plasty for pulmonary valve reconstruction in 10 patients. Eight patients (5 males, 3 females) had TOF and 2 patients (1 male, 1 female) had atrial septal defect concomitant with pulmonary valve stenosis. Patient selection for V-plasty reconstruction was made due to the pulmonary valve anatomy and degree of stenosis. The mean follow-up time was 55.7 ± 16.2 months (ranging from 32 to 80 months).
  
  
  RESULTS
  Functional capacity of the patients improved immediately after the surgery. There were no mortality and re-operation in follow-up period. Patients were followed up with echocardiography one week after the operation, at 1st, 6th, 12th months and annually. There was no pulmonary insufficiency.
  
  
  CONCLUSIONS
  Operative correction of the pulmonary outflow tract obstruction with or without TOF, frequently requires transannular enlargement because of the infundibular and/or annular-valvular obstruction. This conventional technique is usually a reason for late pulmonary insufficiency. In our study, we have not seen pulmonary insufficiency in early term follow-up period. Our early term results are encouraging, but long term follow-up results are needed with large case series.
authors.affiliation: Department of Cardiovascular Surgery, Gaziantep University Medical Faculty, Gaziantep, Turkey. hustunsoy@yahoo.com
authors.forename: Hasim
authors.initials: H
authors.lastname: Ustunsoy
authors.forename: Gokhan
authors.initials: G
authors.lastname: Gokaslan
authors.forename: Ozerdem
authors.initials: O
authors.lastname: Ozcaliskan
authors.forename: Cem
authors.initials: C
authors.lastname: Atik
authors.forename: Osman
authors.initials: O
authors.lastname: Baspinar
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Arslanoglu
authors.forename: Eren Oral
authors.initials: EO
authors.lastname: Kalbisade
mesh_terms: D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011664:Pulmonary Valve / Q000502:physiology / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013771:Tetralogy of Fallot / Q000601:surgery
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