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Division of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905
(Email: dearani.joseph@mayo.edu).
| The first 20% of the full text of this article appears below. |
Bautista-Hernandez and colleagues [1] report a cohort of patients with pulmonary atresia and intact ventricular septum (PA/IVS) who underwent elective pulmonary valve replacement (PVR). Concomitant tricuspid valvuloplasty was performed in most of the patients. Results demonstrated no early deaths, but the ability to obtain a satisfactory tricuspid valve repair was low. This is not unexpected but is an important observation. In contrast to patients with tetralogy of Fallot (TOF) who undergo elective PVR for pulmonary regurgitation, patients with PA/IVS have an inherently abnormal tricuspid valve. This raises two important issues.
The first issue is whether or not the degree of tricuspid regurgitation is useful in determining
Related Article
Ann. Thorac. Surg. 2011 91: 555-560.
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