title: Pulmonary valve preservation and restoration strategies for repair of tetralogy of Fallot.
abstract: Despite tremendous advances in surgical treatment of tetralogy of Fallot, augmenting the small right ventricular outflow tract remains a challenge. Transannular patch augmentation revolutionised surgical management, but did so at the expense of rendering patients with pulmonary insufficiency and the resulting problems associated therewith. Recent surgical efforts have focused on pulmonary valve preservation at initial correction and pulmonary valve restoration after transannular patching, with favourable results. In this manuscript, we review methods of pulmonary valve preservation and restoration.
authors: 1Division of Cardiovascular Surgery,University of Pennsylvania Department of Surgery,Philadelphia,Pennsylvania,United States of America.
authors: Constantine D
authors: CD
authors: Mavroudis
authors: 2Children's of Minnesota;St Paul,Minnesota,United States of America.
authors: Jennifer
authors: J
authors: Frost
authors: 3Johns Hopkins Children's Heart Surgery;Florida Hospital for Children,Orlando,Florida,United States of America.
authors: Constantine
authors: C
authors: Mavroudis
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011664:Pulmonary Valve / Q000002:abnormalities / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000517:prevention & control* / Q000601:surgery; D013771:Tetralogy of Fallot / Q000601:surgery*
keywords: right ventricular outflow tract