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Ann Thorac Surg 1997;64:261-264
© 1997 The Society of Thoracic Surgeons

How To Do It

Punch Pulmonary Valvectomy: Another Alternative to Treat Critical Pulmonary Stenosis

Simcha Milo, MD, Yaron Bar-El, MD, Zvi Adler, MD, Michael Halberthal, MD, Abraham Lorber, MD

Department of Cardiac Surgery and Units of Pediatric Cardiac Surgery, Pediatric Intensive Care, and Pediatric Cardiology, Rambam Medical Center, Technion-Israel Institute of Technology, Haifa, Israel

Accepted for publication January 9, 1997.

For neonates with severe valvar stenosis, or valvar pulmonary atresia with an imperforate pulmonary valve, we present a simple but effective closed procedure using a specially designed valvectomy punch. Seven neonates, who were not suitable for any type of transcatheter procedure, were treated. There were two late deaths, neither directly related to the operation; 4 patients are developing well. This approach using the valvectomy punch is a fast, safe, and effective procedure.






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Copyright © 1997 by The Society of Thoracic Surgeons.