Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair

Joseph R. Nellis; Andrew M. Vekstein; James M. Meza; Nicholas D. Andersen; John C. Haney; Joseph W. Turek

doi:10.1177/1556984520911025

Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair

Joseph R. Nellis, Andrew M. Vekstein, James M. Meza, Nicholas D. Andersen, John C. Haney, Joseph W. Turek

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.

Original language	English (US)
Pages (from-to)	106-110
Number of pages	5
Journal	Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume	15
Issue number	2
DOIs	https://doi.org/10.1177/1556984520911025
State	Published - Mar 1 2020
Externally published	Yes

Keywords

Tetralogy of Fallot
congenital heart defect
minimally invasive congenital cardiac surgery
pulmonary valve replacement

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1177/1556984520911025

Cite this

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abstract = "Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.",

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AU - Vekstein, Andrew M.

AU - Meza, James M.

AU - Andersen, Nicholas D.

AU - Haney, John C.

AU - Turek, Joseph W.

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2020/3/1

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N2 - Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.

AB - Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.

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Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair

Abstract

Keywords

ASJC Scopus subject areas

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