Technique for Neo-Pulmonary Valve Creation With Living Tissue for Repair of Atrioventricular Septal Defect and Tetralogy of Fallot

Abstract

Long-standing effects of pulmonary regurgitation after transannular patch repair in Tetralogy of Fallot (ToF) can be especially deleterious in the setting of combined ToF and complete atrioventricular septal defect (CAVSD). We present a technique for a complete repair of combined ToF/CAVSD using right atrial appendage tissue to create a competent neo-pulmonary valve. This technique provides advantages of right heart protection via pulmonary valve competence and the use of living tissue capable of growth with the patient, potentially obviating the need for repeat interventions.

Keywords

congenital heart disease congenital heart surgery atrio-ventricular septal defect (AVSD)Tetralogy of Fallot heart valve autograft pulmonary valve surgery/incisions

Get full access to this article

View all access options for this article.

References

Al Habib

Jacobs

Mavroudis

, et al. Contemporary patterns of management of tetralogy of Fallot: data from the society of thoracic surgeons database. Ann Thorac Surg 2010;90(3):813-820. doi:10.1016/j.athoracsur.2010.03.110

Lozano-Balseiro

Garcia-Vieites

Martínez-Bendayán

, et al. Valve-sparing tetralogy of Fallot repair with intraoperative dilation of the pulmonary valve. Mid-term results. Semin Thorac Cardiovasc Surg 2019;31(4):828-834. doi:10.1053/j.semtcvs.2019.04.007

Emani

del Nido

. Tetralogy of Fallot with atrioventricular canal defect: two patch repair. Oper Tech Thorac Cardiovasc Surg. 2012;17(3):222-235. doi:10.1053/j.optechstcvs.2012.08.002

Stephens

Tingo

Najjar

, et al. Cardiac function after tetralogy of Fallot/complete atrioventricular canal repair. World J Pediatr Congenit Heart Surg 2017;8(2):189-195. doi:10.1177/2150135116682719

Talwar

Choudhary

Mathur

Kumar

. Autologous right atrial wall patch for closure of atrial septal defects. Ann Thorac Surg. 2007;84:913-916. doi:10.1016/j.athoracsur.2007.04.067

Onan

Ergün

Özturk

Çelik

Ayyıldız

Onan

. Early results of neopulmonary valve creation technique using right atrial appendage tissue. J Card Surg 2020;35(10):2640-2648. doi:10.1111/jocs.14860

Amirghofran

Edraki

, et al. Surgical repair of tetralogy of Fallot using autologous right atrial appendages: short- to mid-term results. Eur J Cardiothorac Surg 2021;59(3):697-704. doi:10.1093/ejcts/ezaa374

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB