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Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency  Sameh M. Said, MD, Richard D. Mainwaring, MD, Michael Ma, MD, Theresa.

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Presentation on theme: "Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency  Sameh M. Said, MD, Richard D. Mainwaring, MD, Michael Ma, MD, Theresa."— Presentation transcript:

1 Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency 
Sameh M. Said, MD, Richard D. Mainwaring, MD, Michael Ma, MD, Theresa A. Tacy, MD, Frank L. Hanley, MD  The Annals of Thoracic Surgery  Volume 101, Issue 6, Pages (June 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Echocardiogram showing severe PV insufficiency. One of the PV leaflets is seen in the image. (AOV = aortic valve; MPA = main pulmonary artery; PR = pulmonary regurgitation; PV = pulmonary valve; RVOT = right ventricular outflow tract.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Patient underwent transannular patch repair with preservation of the PV leaflets. The patient returns with severe PV insufficiency. (B) Close up of the PV showing nicely formed leaflets with an anterior gap created by the transannular patch. (Ao = aorta; PV = pulmonary valve.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) The transannular patch is excised. A double pledgeted suture is placed above the commissure on each side. (B) The pledgeted suture is tied to create a neocommissure. (C) The transannular incision is closed. (Ao = aorta.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Postoperative echocardiogram showing trace PV insufficiency. (AOV = aortic valve; MPA = main pulmonary artery; PR = pulmonary regurgitation; PV = pulmonary valve; RVOT = right ventricular outflow tract.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Degree of PV insufficiency for the 13 patients with TOF preoperatively, postoperatively, and at follow-up. (PV = pulmonary valve; TOF = tetralogy of Fallot.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Degree of PV insufficiency for the 3 patients with critical PS. (PS = pulmonary insufficiency; PV = pulmonary valve.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

8 Supplemental Fig a The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

9 Supplemental Fig b The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

10 Supplemental Fig c The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

11 Supplemental Fig d The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

12 Supplemental Fig e The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

13 Supplemental Fig f The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

14 Supplemental Fig g The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

15 Supplemental Fig h The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

16 Supplemental Fig i The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

17 Supplemental Fig j The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

18 Supplemental Fig k The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

19 Supplemental Fig l The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

20 Supplemental Fig m The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

21 Supplemental Fig n The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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