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

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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.





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Nellis, Joseph R, Andrew M Vekstein, James M Meza, Nicholas D Andersen, John C Haney and Joseph W Turek (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.

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