Valve-sparing repair to alleviate pulmonary regurgitation may lead to as much right ventricular dilatation as a transannular patch: A catch-22? Tae-Jin.

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Presentation transcript:

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 1174-1175 (March 2018) DOI: 10.1016/j.jtcvs.2017.09.116 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 2018 155, 1174-1175DOI: (10.1016/j.jtcvs.2017.09.116) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Tae-Jin Yun, MD, PhD The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1174-1175DOI: (10.1016/j.jtcvs.2017.09.116) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions