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Ann Thorac Surg 2009;87:1884. doi:10.1016/j.athoracsur.2009.03.055
© 2009 The Society of Thoracic Surgeons
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Glenn J. Pelletier
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Original Articles: Pediatric Cardiac

Invited Commentary

Glenn J. Pelletier, MD

St. Christophers Hospital for Children, Erie Ave at Front St, Philadelphia, PA 19134

(Email: gpelleti@drexelmed.edu).

The first 20% of the full text of this article appears below.

Surgical repair of pulmonary stenosis, particularly with the use of a transannular patch, often leads to pulmonary regurgitation (PR) because the pulmonary valve is rendered incompetent. With time, the resultant volume load on the right ventricle (RV) causes enlargement and dysfunction of this chamber and produces heart failure, ventricular arrhythmias, and even sudden death. Generally this process evolves for decades after the primary repair, and is frequently compensated for much of that time. However, much attention has recently been made to identify specific, objective indicators of RV dysfunction, or more . . . [Full Text of this Article]


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Secondary Repair of Incompetent Pulmonary Valves
Nestoras Papadopoulos, Anoosh Esmaeili, Andreas Zierer, Farhad Bakhtiary, Feyzan Özaslan, and Anton Moritz
Ann. Thorac. Surg. 2009 87: 1879-1884. [Abstract] [Full Text] [PDF]





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