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Double-Barrel Right Ventricular Outflow: Tetralogy of Fallot Annulus Preservation Technique

Authors
Journal
The Annals of Thoracic Surgery
0003-4975
Publisher
Elsevier
Volume
94
Issue
3
Identifiers
DOI: 10.1016/j.athoracsur.2012.05.091
Disciplines
  • Medicine

Abstract

In patients with tetralogy of Fallot (TOF) repair and a borderline pulmonary valve annulus (PVA) size, surgical repair often necessitates a transannular incision and subsequent placement of a patch with or without a monocusp or, alternatively, a right ventricle–to–pulmonary artery conduit. We discuss here a technique in which the pulmonary valve annulus can be safely preserved, with infrequent postoperative issues as well as the potential for less incidence of right ventricular outflow intervention in the long term.

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