Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair.
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.
Type
Journal articleSubject
Tetralogy of Fallotcongenital heart defect
minimally invasive congenital cardiac surgery
pulmonary valve replacement
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https://hdl.handle.net/10161/20657Published Version (Please cite this version)
10.1177/1556984520911025Publication Info
Nellis, Joseph R; Vekstein, Andrew M; Meza, James M; Andersen, Nicholas D; Haney,
John C; & Turek, Joseph W (2020). Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of
Fallot Repair. Innovations (Philadelphia, Pa.), 15(2). pp. 106-110. 10.1177/1556984520911025. Retrieved from https://hdl.handle.net/10161/20657.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
John Carroll Haney
Assistant Professor of Surgery
James Meza
House Staff
Joseph Nellis
House Staff
Joseph W Turek
Associate Professor of Surgery
Joseph W. Turek, MD, PhD, MBA is an academic pediatric cardiac surgeon at Duke University
in Durham, North Carolina. Since 2017, Dr. Turek has served as chief of pediatric
cardiac surgery and executive co-director of Duke Children’s Pediatric & Congenital
Heart Center. Prior to Duke, he served in a similar leadership role at the University
of Iowa Stead Family Children’s Hospital from 2012-2017.
Dr. Turek attended the Illinois Mathematics and Science Academy for second
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