| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 36, 684-691, Copyright © 1983 by The Society of Thoracic Surgeons
GA Misbach, K Turley and PA Ebert
In general, it has been thought that pulmonary valve insufficiency is well
tolerated when the valve is excised or when the pulmonary annulus has been
widened with an outflow patch during repair of tetralogy of Fallot.
However, when pulmonary regurgitation is massive or when it is combined
with other causes of right ventricular failure, progressive right
ventricular dilation may occur in some patients. Pulmonary valve
replacement has not been commonly used in the past. From January, 1980, to
August, 1982, 12 patients, 11 months to 17 years old, had pulmonary
regurgitation treated by insertion of a valve in the pulmonary position 4
1/2 months to 11 years after initial repair of tetralogy of Fallot. All
patients had progressive right ventricular failure not responsive to
medical management. There were no major outflow tract obstructions,
residual ventricular septal defects, or persistent aortopulmonary shunts.
All 12 patients underwent patch reconstruction of the right ventricular
outflow tract that allowed placement of a larger valve. There have been no
operative or late deaths, and each patient has had improvement in
functional status. One patient required tricuspid valve replacement 1 1/2
years after pulmonary valve replacement to achieve sustained relief of
symptoms. Only 1 other patient required subsequent operation; this was for
pacemaker lead changes. These early results suggest that in patients with
right ventricular failure, attention should be directed to pulmonary
regurgitation since this is a component of failure that is reversible;
pulmonary valve replacement carries a low risk, and it can relieve symptoms
and prevent further deterioration of right ventricular function.
ARTICLES
Pulmonary valve replacement for regurgitation after repair of tetralogy of Fallot
This article has been cited by other articles:
|
|
 |
|
  F. J. Meijboom, J. W. Roos-Hesselink, J. S. McGhie, S. E.C. Spitaels, R. T. van Domburg, L. M.W.J. Utens, M. L. Simoons, and A. J.J.C. Bogers Consequences of a selective approach toward pulmonary valve replacement in adult patients with tetralogy of Fallot and pulmonary regurgitation J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 50 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P A Davlouros, K Niwa, G Webb, and M A Gatzoulis The right ventricle in congenital heart disease Heart, April 1, 2006; 92(suppl_1): i27 - i38. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Quintessenza, J. P. Jacobs, V. O. Morell, J. M. Giroud, and R. J. Boucek Initial Experience With a Bicuspid Polytetrafluoroethylene Pulmonary Valve in 41 Children and Adults: A New Option For Right Ventricular Outflow Tract Reconstruction Ann. Thorac. Surg., March 1, 2005; 79(3): 924 - 931. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. A. Ali, J. C. Halstead, A.-R. Hosseinpour, Z. A. Ali, S. Kumar, and J. Wallwork Replacement of a Regurgitant Pulmonary Valve with a Stentless Bioprosthesis Ann. Thorac. Surg., October 1, 2004; 78(4): 1467 - 1468. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. T.H. de Ruijter, I. Weenink, F. J. Hitchcock, E. J. Meijboom, and G. B.W.E. Bennink Right ventricular dysfunction and pulmonary valve replacement after correction of tetralogy of fallot Ann. Thorac. Surg., June 1, 2002; 73(6): 1794 - 1800. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Kanter, J. M. Budde, W. J. Parks, V. K.H. Tam, S. Sharma, W. H. Williams, and D. A. Fyfe One hundred pulmonary valve replacements in children after relief of right ventricular outflow tract obstruction Ann. Thorac. Surg., June 1, 2002; 73(6): 1801 - 1807. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Kanter, N. R. Doelling, D. A. Fyfe, S. Sharma, and V. K.H. Tam De Vega tricuspid annuloplasty for tricuspid regurgitation in children Ann. Thorac. Surg., October 1, 2001; 72(4): 1344 - 1348. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Bacha, A. M. Scheule, D. Zurakowski, L. C. Erickson, J. Hung, P. Lang, J. E. Mayer Jr, P. J. del Nido, and R. A. Jonas Long-term results after early primary repair of tetralogy of Fallot J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 154 - 161. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R A Niezen, W A Helbing, E E van der Wall, R J van der Geest, H W Vliegen, and A de Roos Left ventricular function in adults with mild pulmonary insufficiency late after Fallot repair Heart, December 1, 1999; 82(6): 697 - 703. [Abstract] [Full Text]
|
|
|
|
|
|
E. N. Oechslin, D. A. Harrison, L. Harris, E. Downar, G. D. Webb, S. S. Siu, and W. G. Williams REOPERATION IN ADULTS WITH REPAIR OF TETRALOGY OF FALLOT: INDICATIONS AND OUTCOMES J. Thorac. Cardiovasc. Surg., August 1, 1999; 118(2): 245 - 251. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Conte, R. Jashari, B. Eyskens, M. Gewillig, M. Dumoulin, and W. Daenen Homograft valve insertion for pulmonary regurgitation late after valveless repair of right ventricular outflow tract obstruction Eur. J. Cardiothorac. Surg., February 1, 1999; 15(2): 143 - 149. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Rosti, B. Murzi, A. M. Colli, P. Festa, S. Redaelli, L. Havelova, L. Menicanti, and A. Frigiola Mechanical valves in the pulmonary position: A reappraisal J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1074 - 1078. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Fukada, K. Morishita, K. Komatsu, and T. Abe Influence of Pulmonic Position on Durability of Bioprosthetic Heart Valves Ann. Thorac. Surg., December 1, 1997; 64(6): 1678 - 1680. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
