Pulmonary Valve Replacement via Left Thoracotomy as an Alternative to Resternotomy

Hideki Tatewaki; Ichiro Sakamoto; Tomoki Ushijima; Akira Shiose

doi:10.1016/j.athoracsur.2020.03.130

Pulmonary Valve Replacement via Left Thoracotomy as an Alternative to Resternotomy

Ann Thorac Surg. 2020 Dec;110(6):e537-e539. doi: 10.1016/j.athoracsur.2020.03.130. Epub 2020 May 23.

Authors

Hideki Tatewaki¹, Ichiro Sakamoto², Tomoki Ushijima¹, Akira Shiose³

Affiliations

¹ Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.
² Department of Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
³ Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan. Electronic address: shiose@heart.med.kyushu-u.ac.jp.

PMID: 32454022
DOI: 10.1016/j.athoracsur.2020.03.130

Abstract

Most patients with repaired tetralogy of Fallot (TOF) survive to adulthood and suffer from residual right ventricular pathology, mostly pulmonary regurgitation. Pulmonary valve replacement (PVR) is a procedure of choice to alleviate right ventricular dilatation and pulmonary regurgitation. Resternotomy is the standard approach for PVR in patients who have undergone TOF repair. However, these patients require multiple reoperations during their lifetime. We performed minimally invasive redo PVR through left mini-thoratocomy in 2 patients who had previously undergone TOF repair through sternotomy.

Publication types

Case Reports

MeSH terms

Adult
Female
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Pulmonary Valve / surgery*
Pulmonary Valve Insufficiency / diagnosis
Pulmonary Valve Insufficiency / etiology
Pulmonary Valve Insufficiency / surgery*
Tetralogy of Fallot / complications
Tetralogy of Fallot / surgery
Thoracotomy / methods*