Pulmonary valve replacement via left anterior minithoracotomy: Lessons learned and early experience.
pulmonary atresia
pulmonary regurgitation
pulmonary valve replacement
tetralogy of Fallot
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
18
01
2021
received:
14
12
2020
accepted:
20
01
2021
pubmed:
4
2
2021
medline:
11
5
2021
entrez:
3
2
2021
Statut:
ppublish
Résumé
Median sternotomy has been the standard for pulmonary valve replacement (PVR) in patients with free pulmonary regurgitation (PR) and right ventricular enlargement. With the introduction of transcatheter therapy, the search for an alternate to sternotomy is mandated. We present our early experience with a limited anterior left thoracotomy approach. We used a left anterior mini-thoracotomy in six male patients (15 ± 1.94 years of age) who developed progressive right ventricular enlargement due to chronic PR. Primary diagnoses were tetralogy of Fallot in five patients and pulmonary atresia with an intact septum in another. Four patients had previous median sternotomy with transannular patch repair. The mean right ventricular end-diastolic volume index was 189 ± 27.13 ml/m Minimally invasive access for PVR is feasible in both primary and repeat settings, through a limited anterior left minithoracotomy in the absence of intracardiac shunts and the need for other concomitant cardiac procedures. Longer-term studies with a larger number of patients are needed to compare the efficacy of this approach to standard sternotomy.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1305-1312Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
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