Preservation of the Pulmonary Valve During Early Repair of Tetralogy of Fallot: Surgical Techniques

Vladimiro L Vida; Alvise Guariento; Fabio Zucchetta; Massimo Padalino; Biagio Castaldi; Ornella Milanesi; Giovanni Stellin

doi:10.1053/j.pcsu.2015.12.008

Preservation of the Pulmonary Valve During Early Repair of Tetralogy of Fallot: Surgical Techniques

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2016;19(1):75-81. doi: 10.1053/j.pcsu.2015.12.008.

Authors

Vladimiro L Vida¹, Alvise Guariento¹, Fabio Zucchetta¹, Massimo Padalino¹, Biagio Castaldi², Ornella Milanesi², Giovanni Stellin³

Affiliations

¹ Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
² Pediatric Cardiology Unit, Department of Woman and Child's Health, University of Padua, Padua, Italy.
³ Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy. Electronic address: giovannistellin@unipd.it.

PMID: 27060048
DOI: 10.1053/j.pcsu.2015.12.008

Abstract

During the last decade interest in preserving pulmonary valve (PV) function has stimulated a few surgeons to apply valve-sparing techniques in repairing tetralogy of Fallot (TOF), with the aim of preserving long-term right ventricular function. Since June 2007, we embarked upon a program for preserving PV function in selected patients during TOF repair. More recently, the introduction of more complex PV plasty techniques allowed us to further extend the applicability of PV preservation techniques. We believe that preservation of PV function during early repair of TOF, by combining different intraoperative surgical maneuvers, can be extended to almost all patients with classic TOF.

Publication types

Review

MeSH terms

Balloon Valvuloplasty / methods*
Humans
Infant
Patient Selection
Pulmonary Valve*
Tetralogy of Fallot / surgery*
Ventricular Function, Right