Browsing by Subject "minimally invasive congenital cardiac surgery"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Open Access Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair.(Innovations (Philadelphia, Pa.), 2020-03) Nellis, Joseph R; Vekstein, Andrew M; Meza, James M; Andersen, Nicholas D; Haney, John C; Turek, Joseph WPulmonary 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.Item Open Access Left Anterior Mini-Incision for Pulmonary Valve Replacement in a 12-Year-Old.(Innovations (Philadelphia, Pa.), 2020-03) Vekstein, Andrew M; Nellis, Joseph R; Meza, James M; Andersen, Nicholas D; Haney, John C; Turek, Joseph WA 12-year-old, 32 kg male with history of Tetralogy of Fallot status post repair at 8 days of life presented with progressive pulmonary insufficiency and left pulmonary artery stenosis. Surgical options were discussed, and the patient and his family elected to pursue minimally invasive pulmonary valve replacement with left pulmonary artery augmentation through a 5-cm left anterior mini-incision. The procedure was performed without complication, and he was discharged on postoperative day 3. At the time of his last follow-up, the patient was recovering well without evidence of pulmonary stenosis or insufficiency.