Nellis, Joseph RVekstein, Andrew MMeza, James MAndersen, Nicholas DHaney, John CTurek, Joseph W2020-05-162020-05-162020-031556-98451559-0879https://hdl.handle.net/10161/20657Pulmonary 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.Tetralogy of Fallotcongenital heart defectminimally invasive congenital cardiac surgerypulmonary valve replacementJournal article2020-05-16