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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Nellis, JR; Vekstein, AM; Meza, JM; Andersen, ND; Haney, JC; Turek, JW

Published In

Volume / Issue

  • 15 / 2

Start / End Page

  • 106 - 110

PubMed ID

  • 32352906

Electronic International Standard Serial Number (EISSN)

  • 1559-0879

Digital Object Identifier (DOI)

  • 10.1177/1556984520911025


  • eng

Conference Location

  • United States