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

Division of Cardiac, Thoracic, and Vascular Surgery, NewYork-Presbyterian/Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, Columbia University College of Physicians and Surgeons, New York, New York. Electronic address:

Published: March 2021

AI Article Synopsis

  • Valve-sparing techniques for Tetralogy of Fallot with pulmonary stenosis have advanced significantly, emphasizing the importance of preserving the pulmonary valve during treatment.
  • Various methods are available for valve-sparing, such as commissurotomy, leaflet thinning, balloon dilation, and modified monocusp repair.
  • A systematic approach to these techniques is recommended, tailored to each patient’s anatomy to maximize benefits and minimize risks.

Article Abstract

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.

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http://dx.doi.org/10.1053/j.pcsu.2020.02.005DOI Listing

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