We report two patients with repaired tetralogy of Fallot who underwent pulmonary valve replacement through a limited left anterolateral thoracotomy. We describe the technique in detail. Both patients were at risk of cardiac injury during repeat sternotomy. This approach reliably avoids the risk of cardiac injury during repeat sternotomy and appears to be safe, simple, and reproducible.
HenaineRYoshimuraNDi FilippoSNinetJ. Pulmonary valve replacement in repaired tetralogy of Fallot by left thoracotomy avoid ascending aorta injury. J Thorac Cardiovasc Surg. 2011;141(2):590–592.
2.
Abd El RahmanMYAbdul-KhaliqHVogelMAlexi-MeskishviliVGutberletMLangePE. Relation between right ventricular enlargement, QRS duration, and right ventricular function in patients with tetralogy of Fallot and pulmonary regurgitation after surgical repair. Heart. 2000;84:416–420.
3.
SinghAKStearnsGMaslowAFengWCSchwartzC. Redo sternotomy for cardiac reoperations using peripheral heparin-bonded cardiopulmonary bypass circuits without systemic heparinization: technique and results. J Cardiothor Vasc Anesth. 2011;25(2):347–352.
4.
CheemaFHHengEERehmanA. Pulmonary valve replacement through a left minithoracotomy: an alternate approach. Ann Thorac Surg. 2014;98(5):1827–1829.
5.
BarnardJHoschtitzkyAHasanR. Pulmonary valve replacement through a left thoracotomy approach. Ann Thorac Surg. 2012;93(1):306–308. doi:10.1016/j.athoracsur.2011.05.064.
6.
SuleimanTKavinskyCJSkerrittCKennyDIlbawiMNCaputoM. Recent development in pulmonary valve replacement after tetralogy of Fallot repair: the emergence of hybrid approaches. Front Surg. 2015;2:22.
