NDLI: Pulmonary cusp augmentation in repair of tetralogy of Fallot.

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Pulmonary cusp augmentation in repair of tetralogy of Fallot.

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Pulmonary cusp augmentation in repair of tetralogy of Fallot.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Attanawanich, Sukasom Ngodgnamthaweesuk, Montein Kitjanon, Narumol Sitthisombat, Chanawit
Description	Country affiliation: Thailand Author Affiliation: Attanawanich S ( Division of Thoracic Surgery, Mahidol University, Bangkok, Thailand. Rasac@mahidol.ac.th)
Abstract	BACKGROUND: pulmonary insufficiency after transannular patch repair of tetralogy of Fallot is associated with a poorer outcome. OBJECTIVE: to compare the results of 2 techniques of transannular patch repair. METHODS: 93 patients with tetralogy of Fallot and hypoplasia of the right ventricular outflow tract underwent repair between 1990 and 2004 by 2 different techniques. Their ages ranged from 6 months to 12 years. The conventional transannular patch repair was used in 38 patients and 55 had transannular patch repair with pulmonary cusp augmentation. RESULTS: mortality rates were 13.16% after conventional transannular patch repair and 0% after transannular patch repair with pulmonary cusp augmentation. Follow-up periods were 13-18 years (mean, 15.7±1.64 years) and 5-14 years (mean, 10.8±2.07 years), respectively. The early and midterm results demonstrated significantly more pulmonary insufficiency in the conventional repair group. Transannular patch repair with pulmonary cusp augmentation had longer bypass and operative times, but it was associated with a lower operative mortality than conventional repair. The long-term results showed differences in pulmonary insufficiency, cardiothoracic ratio, and rate of reoperation for pulmonary valve replacement. CONCLUSION: reconstruction of the native pulmonary valve accompanied by pulmonary cusp augmentation can reduce postoperative pulmonary insufficiency and has a more favorable long-term outcome.
File Format	HTM / HTML
ISSN	02184923
Issue Number	1
Volume Number	21
e-ISSN	18165370
Journal	Asian Cardiovascular and Thoracic Annals
Language	English
Publisher	Sage Publication
Publisher Date	2013-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Cardiology Cardiac Surgical Procedures Methods Pericardium Transplantation Pulmonary Valve Surgery Tetralogy Of Fallot Adverse Effects Mortality Chi-square Distribution Child Child, Preschool Heart Valve Prosthesis Implantation Humans Infant Physiopathology Pulmonary Valve Insufficiency Etiology Pulmonary Valve Stenosis Reoperation Time Factors Treatment Outcome Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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Mid-term results of bioprosthetic pulmonary valve replacement in pulmonary regurgitation after tetralogy of Fallot repair.

A Ross-mutét helye a veleszületett szívhibák sebészi kezelésében.

Melody valve implantation into the branch pulmonary arteries for treatment of pulmonary insufficiency in an ovine model of right ventricular outflow tract dysfunction following tetralogy of Fallot repair.

Pulmonary cusp augmentation in repair of tetralogy of Fallot.

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Pulmonary cusp augmentation in repair of tetralogy of Fallot.