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Ann Thorac Surg 1986;42:587-589
© 1986 The Society of Thoracic Surgeons

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Articles

Repair of Pulmonary Valve Insufficiency Using an Autologous Monocusp

From the University of Colorado School of Medicine, Denver, CO

Accepted for publication December 21, 1985.

^* Address reprint requests to Dr. Clarke, Cardiothoracic Surgery, University of Colorado Health Sciences Center, 4200 E. 9th Ave #C310, Denver, CO 80262

A 31/2-year-old boy experienced right ventricular failure approximately two years after an operation for critical pulmonic stenosis. Severe pulmonary and tricuspid valvular insufficiency was documented echocardiographically and at cardiac catheterization. Treatment consisted of a tricuspid valve annuloplasty and creation of an autologous monocusp valve using the anterior wall of the pulmonary artery. The procedure was well tolerated, and early competence of the pulmonary valve was shown intraoperatively by pressure recordings and postoperatively by Doppler echocardiography. However, at recatheterization one year later, there was no evidence that the monocusp valve was functioning. This experience does not support the prior successful application of this technique in animals.

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