Reconstruction of the right ventricular outflow tract (RVOT) is a key procedure in
repair of Tetralogy of Fallot (TOF). The procedure creates pulmonary insufficiency
(PI) that may compromise the right ventricular (RV) function, particularly during
late follow-up. A simple way to reduce PI is to create a monocusp patch from xenografts,
homografts, fascia lata, and autologous pulmonary artery or pericardium. Each of those
has limitations. The autologous pericardial valve sewn on another pericardial patch
is one of the earliest monocusp patches used clinically but loses anti-PI effect soon
after the operation presumably due to degeneration or absorption of the monocusp.
I have therefore designed and used a new technique (folded monocusp patch) to create
a monocusp for TOF repair in children and adults. The technique has been used in nine
patients of the 18 TOF patients who needed transannular patch-repair in total 74 TOF
repairs. The monocusp patch-repaired patients had minimal or mild PI and good RV function
beyond 8–12 months. The long-term results await follow-up and further study in multi-institutions.
Keywords
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Article info
Publication history
Accepted:
October 21,
2006
Received in revised form:
October 13,
2006
Received:
June 21,
2006
Identification
Copyright
© 2006 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
