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Valve-sparing repair to alleviate pulmonary regurgitation may lead to as much right ventricular dilatation as a transannular patch: A catch-22? Tae-Jin Yun, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 3, Pages (March 2018) DOI: /j.jtcvs Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 Tetralogy of Fallot as a spectrum of disease with varying severity. Point A represents patients with a large pulmonary valve annulus, who need minimal intervention on the pulmonary valve. Point B represents patients with a marginally small pulmonary valve annulus, for whom it is important to ascertain the balance between pulmonary stenosis and pulmonary regurgitation that results in the best hemodynamic outcome. Point C represents patients with a very small pulmonary valve annulus, for whom valve-sparing repair may result in unacceptably high cost. ToF, Tetralogy of fallot; PV, pulmonary valve; PVA, pulmonary valve annulus; VSR, valve sparing repair; RVOT, right ventricular outflow tract; TAP, transannular patch; PR, pulmonary regurgitation; PS, pulmonary stenosis. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions
Tae-Jin Yun, MD, PhD The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions
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