Pulmonary Valve-Sparing Techniques for Tetralogy of Fallot: A Systematic Approach for Maximizing Success and Minimizing Risk

Michael H Kwon; Emile A Bacha

doi:10.1053/j.pcsu.2020.02.005

Pulmonary Valve-Sparing Techniques for Tetralogy of Fallot: A Systematic Approach for Maximizing Success and Minimizing Risk

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2020:23:24-28. doi: 10.1053/j.pcsu.2020.02.005.

Authors

Michael H Kwon¹, Emile A Bacha²

Affiliations

¹ Division of Cardiac, Thoracic, and Vascular Surgery, NewYork-Presbyterian/Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, Columbia University College of Physicians and Surgeons, New York, New York.
² Division of Cardiac, Thoracic, and Vascular Surgery, NewYork-Presbyterian/Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, Columbia University College of Physicians and Surgeons, New York, New York. Electronic address: eb2709@cumc.columbia.edu.

PMID: 32354543
DOI: 10.1053/j.pcsu.2020.02.005

Abstract

Valve-sparing techniques for the treatment of Tetralogy of Fallot with pulmonary stenosis have evolved over the past few decades. This article will discuss the rationale for a more aggressive approach to sparing the pulmonary valve, the various techniques available (including commissurotomy, leaflet thinning and debridement, balloon dilation, and finally modified monocusp repair), as well as a systematic approach for employing these techniques based on individual patient anatomy in a manner that takes full advantages of the benefits of the valve-sparing approach while mitigating the risks involved.

Keywords: Pulmonary valve; Tetralogy of fallot; Valve-sparing techniques.

Publication types

Review

MeSH terms

Angioplasty, Balloon, Coronary
Cardiac Surgical Procedures / methods*
Cardiac Valve Annuloplasty
Child
Debridement
Echocardiography
Humans
Pulmonary Valve / diagnostic imaging
Pulmonary Valve / surgery*
Pulmonary Valve Stenosis / surgery*
Tetralogy of Fallot / surgery*