|
|
||||||||
Ann Thorac Surg 2001;72:396-400
© 2001 The Society of Thoracic Surgeons
a Division of Cardiovascular-Thoracic Surgery, Childrens Memorial Hospital, and the Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA
Address reprint requests to Dr Mavroudis, Division of Cardiovascular-Thoracic Surgery, M/C #22, Childrens Memorial Hospital, 2300 Childrens Plaza, Chicago, IL 60614
e-mail: c-mavroudis{at}northwestern.edu
Presented at the Thirty-seventh Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 2931, 2001.
Background. Truncal valve insufficiency has been a significant short- and long-term risk factor for repair of truncus arteriosus. Recent reports have documented the virtues of truncal valve repair. The purpose of this report is to review our experience with truncal valve repair and illustrate our techniques.
Methods. Between 1995 and 2000, 8 patients had interventions for severe truncal valve insufficiency at primary repair (3 patients) or in conjunction with conduit replacement (5 patients). One neonate had truncal valve replacement at initial repair early in the experience. The other 7 patients had truncal valve repair, 3 by valvar suture techniques. The remaining 4 patients had leaflet excision and annular remodeling in 3 (coronary reimplantation was required in 2) and commissure resuspension in 1 patient.
Results. Trivial to mild truncal valve insufficiency is present in the patients who had leaflet excision and annular remodeling (n = 3) and commissure resuspension (n = 1). Of the 3 patients who had valvar suture truncal valve repair, there was one death and 2 patients required acute valve replacement. The 7 survivors are doing well 1 month to 6 years postoperatively.
Conclusions. Truncal valve repair by valvar suture techniques has not been successful in our practice. Truncal valve remodeling by leaflet excision and reduction annuloplasty is an effective method for truncal valve repair. When leaflet excision of a coronary sinus of Valsalva is required, coronary artery translocation can be accomplished.
This article has been cited by other articles:
![]() |
F. Lacour-Gayet and S. Goldberg Surgical repair of truncus arteriosus associated with interrupted aortic arch MMCTS, March 28, 2008; 2008(0328): 2451. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. I. Schmidt, M. Jeserich, D. Aicher, and H.-J. Schafers Tricuspidization of the Quadricuspid Aortic Valve Ann. Thorac. Surg., March 1, 2008; 85(3): 1087 - 1089. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Henaine, K. Azarnoush, E. Belli, A. Capderou, R. Roussin, C. Planche, and A. Serraf Fate of the Truncal Valve in Truncus Arteriosus Ann. Thorac. Surg., January 1, 2008; 85(1): 172 - 178. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. Hawkins, P. C. Kouretas, R. Holubkov, R. V. Williams, L. Y. Tani, J. T. Su, L. M. Lambert, C. R. Mart, M. D. Puchalski, and L. L. Minich Intermediate-term results of repair for aortic, neoaortic, and truncal valve insufficiency in children J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1311 - 1317. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. E. Konstantinov, T. Karamlou, E. H. Blackstone, R. S. Mosca, G. K. Lofland, C. A. Caldarone, W. G. Williams, A. S. Mackie, and B. W. McCrindle Truncus Arteriosus Associated with Interrupted Aortic Arch in 50 Neonates: A Congenital Heart Surgeons Society Study Ann. Thorac. Surg., January 1, 2006; 81(1): 214 - 222. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Tlaskal, B. Hucin, V. Kucera, P. Vojtovic, R. Gebauer, V. Chaloupecky, and J. Skovranek Repair of persistent truncus arteriosus with interrupted aortic arch Eur. J. Cardiothorac. Surg., November 1, 2005; 28(5): 736 - 741. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Miyamoto, N. Sinzobahamvya, D. Kumpikaite, B. Asfour, J. Photiadis, A. M. Brecher, and A. E. Urban Repair of Truncus Arteriosus and Aortic Arch Interruption: Outcome Analysis Ann. Thorac. Surg., June 1, 2005; 79(6): 2077 - 2082. [Abstract] [Full Text] [PDF] |
||||
| 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 |