Heart, Lung and Circulation
Volume 16, Issue 2 , Pages 107-112 , April 2007

A New Technique of Transannular Monocusp Patch-Repair of the Right Ventricular Outflow Tract in Repair of Tetralogy of Fallot

  • Guo-Wei He, MD, PhD, DSc

      Affiliations

    • Wuhan Heart Institute, The Central Hospital of Wuhan, Wuhan, China
    • Starr Academic Center, St. Vincent Heart & Vascular Institute, Department of Surgery, Oregon Health and Science University, Portland, OR, USA
    • Department of Surgery, The Chinese University of Hong Kong, Hong Kong SAR, China
    • Corresponding Author InformationCorrespondence address: Department of Cardiac Surgery, The Central Hospital of Wuhan, 26 Sheng Li Street, Wuhan, China. Tel: 86 27 82780633.

Received 21 June 2006 ,Revised 13 October 2006 ,Accepted 21 October 2006.

References 

  1. Bove EL, Byrum CJ, Thomas FD, Kavey RE, Sondheimer HM, Blackman MS, et al. The influence of pulmonary insufficiency on ventricular function following repair of tetralogy of Fallot. Evaluation using radionuclide ventriculography. J Thorac Cardiovasc Surg. 1983;85:691–696
  2. Roughneen PT, DeLeon SY, Parvathaneni S, Cetta F, Eidem B, Vitullo DA. The pericardial membrane pulmonary monocusp: surgical technique and early results. J Card Surg. 1999;14:370–374
  3. Borowski A, Ghodsizad A, Litmathe J, Lawrenz W, Schmidt KG, Gams E. Severe pulmonary regurgitation late after total repair of tetralogy of Fallot: surgical considerations. Pediatr Cardiol. 2004;25:466–471Epub 2004 Mar 4
  4. Conte S, Jashari R, Eyskens B, Gewillig M, Dumoulin M, Daenen W. Homograft valve insertion for pulmonary regurgitation late after valveless repair of right ventricular outflow tract obstruction. Eur J Cardiothorac Surg. 1999;15:143–149
  5. Giannopoulos NM, Chatzis AC, Bobos DP, Kirvassilis GV, Tsoutsinos A, Sarris GE. Tetralogy of Fallot: influence of right ventricular outflow tract reconstruction on late outcome. Int J Cardiol. 2004;97:87–90
  6. Bigras JL, Boutin C, McCrindle BW, Rebeyka IM. Short-term effect of monocuspid valves on pulmonary insufficiency and clinical outcome after surgical repair of tetralogy of Fallot. J Thorac Cardiovasc Surg. 1996;112:33–37
  7. Bogers AJ, Roofthooft M, Pisters H, Spitaels SE, Bos E. Long-term results of the gamma-irradiation-preserved homograft monocusp for transannular reconstruction of the right-ventricular outflow tract in tetralogy of Fallot. Thorac Cardiovasc Surg. 1994;42:337–339
  8. Sievers HH, Lange PE, Regensburger D, Yankah CA, Onnasch DG, Bursch J, et al. Short-term hemodynamic results after right ventricular outflow tract reconstruction using a cusp-bearing transannular patch. J Thorac Cardiovasc Surg. 1983;86:777–783
  9. Revuelta JM, Ubago JL, Duran CM. Composite pericardial monocusp patch for the reconstruction of right ventricular outflow tract. Thorac Cardiovasc Surg. 1983;31:156–159
  10. Gundry SR, Razzouk AJ, Boskind JF, Bansal R, Bailey LL. Fate of the pericardial monocusp pulmonary valve for right ventricular outflow tract reconstruction. J Thorac Cardiovasc Surg. 1994;107:908–913
  11. Shatapathy P, Aggarwal BK, Kamath SG, Sai S. Pulmonary valve reconstruction in absent pulmonary valve syndrome: a new technique. J Card Surg. 1997;12:180–184
  12. He GW, Kuo CC, Mee RB. Pulmonic regurgitation and reconstruction of right ventricular outflow tract with patch. An experimental study. J Thorac Cardiovasc Surg. 1986;92:128–137
  13. Turrentine MW, McCarthy RP, Vijay P, McConnell KW, Brown JW. PTFE monocusp valve reconstruction of the right ventricular outflow tract. Ann Thorac Surg. 2002;73:871–880
  14. Norgard G, Gatzoulis MA, Moraes F, Lincoln C, Shore DF, Shinebourne EA, et al. Relationship between type of outflow tract repair and postoperative right ventricular diastolic physiology in tetralogy of Fallot. Implications for long-term outcome. Circulation. 1996;904:3276–3280
  15. Yankah AC, Lange PE, Sievers HH, Radtke W, Regensburger D, Heintzen PH, et al. Late results of valve xenograft conduits between the right ventricle and the pulmonary arteries in patients with pulmonary atresia and extreme tetralogy of Fallot. Thorac Cardiovasc Surg. 1984;32:250–252

PII: S1443-9506(06)00246-0

doi: 10.1016/j.hlc.2006.10.013

Heart, Lung and Circulation
Volume 16, Issue 2 , Pages 107-112 , April 2007

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