Pulmonary Valve-Sparing Techniques for Tetralogy of Fallot: A Systematic Approach for Maximizing Success and Minimizing Risk

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2020:23:24-28. doi: 10.1053/j.pcsu.2020.02.005.


Valve-sparing techniques for the treatment of Tetralogy of Fallot with pulmonary stenosis have evolved over the past few decades. This article will discuss the rationale for a more aggressive approach to sparing the pulmonary valve, the various techniques available (including commissurotomy, leaflet thinning and debridement, balloon dilation, and finally modified monocusp repair), as well as a systematic approach for employing these techniques based on individual patient anatomy in a manner that takes full advantages of the benefits of the valve-sparing approach while mitigating the risks involved.

Keywords: Pulmonary valve; Tetralogy of fallot; Valve-sparing techniques.

Publication types

  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Cardiac Surgical Procedures / methods*
  • Cardiac Valve Annuloplasty
  • Child
  • Debridement
  • Echocardiography
  • Humans
  • Pulmonary Valve / diagnostic imaging
  • Pulmonary Valve / surgery*
  • Pulmonary Valve Stenosis / surgery*
  • Tetralogy of Fallot / surgery*