In this single institution retrospective study, the relationship of PA pressure to long-term mortality was assessed in patients undergoing unifocalization for pulmonary atresia with VSD. A mean PA intraoperative pressure > 25mm Hg was associated with worse survival, and was the sole predictor of medium-term death.
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Pulmonary valve disease (congenital)
November 23, 2016
October 25, 2016
This single center review assessed the need for reintervention after pulmonary valve replacement with bioprostheses for congenital heart disease. Most patients had TOF, and most were in their teens or twenties. After correction for age, the Sorin Mitroflow valve required reintervention sooner and more often than the other two valves (Carpentier-Edw
September 27, 2016
This retrospective study evaluated whether a systemic-PA shunt in infants with TOF facilitated enlargement of the pulmonary valve annulus (PVA). Placement of a shunt was the only factor associated with PVA growth. This knowledge may affect how repair is staged with an eye towards avoiding a transannular patch.
July 12, 2016
This video shows the reconstruction of the pulmonary artery in an 8-year-old girl, who had undergone repair of truncus arteriosus at the age of one.
July 4, 2016
This video demonstrates the use of a ring-reinforced ePTFE graft placed in the right ventricle through a limited ventriculotomy for the treatment of hypoplastic left heart syndrome.
March 7, 2016
This retrospective study of 434 infants and children undergoing TOF repair focused on how methods of handling hypoplastic pulmonary arteries affects long-term outcomes. The most agressive patching technique resulted in the highest incidence of reintervention, whereas patients who had no intervention for hypoplastic pulmonary arterties had the lowest
January 30, 2016
The authors determined the need for transannular patch enlargement (TAPE) in management of ToF by measuring the ratio between pulmonary annulus size to aortic valve annulus size (GA ratio). A retrospective analysis of 122 pts who had undergone ToF repair with or without TAPE was performed. GA ratios were smaller in patients undergoing TAPE. The GA
September 7, 2015
This video presents the case of a 37-year-old man diagnosed with tetralogy of Fallot (TOF) with absent pulmonary valve syndrome.
July 15, 2015
This video shows the replacement of an infected homograft in a six-year-old boy.
November 13, 2014
The authors of this article aimed to describe survival and clinical outcomes beyond 30 years of follow-up after surgical repair of Tetralogy of Fallot. They found a survival of 72% after 40 years. Health status was comparable to the Dutch population.