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European Journal of Cardio-thoracic... Apr 2021
Topics: Humans; Pulmonary Valve; Tetralogy of Fallot
PubMed: 33313658
DOI: 10.1093/ejcts/ezaa434 -
The Journal of Thoracic and... Feb 2021
Topics: Bioprosthesis; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation; Humans; Longevity; Pulmonary Valve
PubMed: 32859415
DOI: 10.1016/j.jtcvs.2020.08.003 -
Seminars in Thoracic and Cardiovascular... 2023The range of valve choices available to the cardiac surgeon for placement in the pulmonary position continues to expand. This article will provide a brief compendium of...
The range of valve choices available to the cardiac surgeon for placement in the pulmonary position continues to expand. This article will provide a brief compendium of the most clinically relevant among these choices and review the contemporary literature regarding their relative durability as well as risk factors for structural valve deterioration and reintervention. The unique advantages and disadvantages of each of these valve choices will be discussed as they pertain to unique patient-specific factors, including patient size and the anatomy of the right ventricular outflow tract, that inform the choice of one prosthesis over another. Finally, general principles regarding the approach to valve choice, and future directions will be discussed.
Topics: Humans; Pulmonary Valve; Heart Valve Prosthesis Implantation; Heart Valve Prosthesis; Treatment Outcome; Pulmonary Valve Insufficiency; Bioprosthesis; Surgical Instruments
PubMed: 35139432
DOI: 10.1053/j.semtcvs.2022.01.006 -
JACC. Cardiovascular Interventions Dec 2020
Topics: Humans; Pulmonary Valve; Pulmonary Valve Insufficiency; Stents; Treatment Outcome
PubMed: 33303114
DOI: 10.1016/j.jcin.2020.09.015 -
The Annals of Thoracic Surgery Dec 2022
Topics: Humans; Pulmonary Valve; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation
PubMed: 34929144
DOI: 10.1016/j.athoracsur.2021.11.027 -
Echocardiography (Mount Kisco, N.Y.) Jul 2022The pulmonary valve (PV) has historically been ignored by imaging studies. Disorders of the PV encountered in adult cardiac patients are increasingly encountered due to... (Review)
Review
The pulmonary valve (PV) has historically been ignored by imaging studies. Disorders of the PV encountered in adult cardiac patients are increasingly encountered due to advanced care of patients with congenital heart disease and associated PV diseases. Despite advances in PV imaging, multiple challenges remain when it comes to obtaining high quality PV images. While 2D TTE is the usual initial imaging tool for PV, excellent views of the PV annulus and its one or two leaflets are obtained in less than half of patients. The 3D echocardiography en face view allows all three leaflets to be evaluated concurrently, as well as assessments of the RV outflow tract and main pulmonary artery, which has improved quantitative assessment of PV diseases. Increasing image quality and experience with live/real time 3D TEE amplifies its utility in accurate evaluation and helps guide and monitor successful percutaneous PV interventions. 2D TTE remains the first line diagnostic tool; however, 3D TTE and 3D TEE provide better image quality which increases diagnostic accuracy and guidance to therapy. In this review article, we stress improvement in 3D echocardiography and its role in diagnostic and therapeutic options for PV diseases.
Topics: Adult; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Heart Valve Diseases; Humans; Pulmonary Valve
PubMed: 33604936
DOI: 10.1111/echo.15001 -
International Journal of Cardiology Nov 2022
Topics: Endocarditis; Endocarditis, Bacterial; Heart Valve Prosthesis; Humans; Pulmonary Valve
PubMed: 36064036
DOI: 10.1016/j.ijcard.2022.08.049 -
Seminars in Thoracic and Cardiovascular... 2022
Topics: Humans; Pulmonary Valve; Treatment Outcome; Pulmonary Valve Insufficiency; Cardiac Surgical Procedures; Heart Valve Prosthesis Implantation
PubMed: 35584775
DOI: 10.1053/j.semtcvs.2022.05.006 -
Multimedia Manual of Cardiothoracic... Nov 2022Absent pulmonary valve syndrome is a relatively rare condition, representing a subset of about 3% of cases of tetralogy of Fallot in both autopsy and clinical reviews...
Absent pulmonary valve syndrome is a relatively rare condition, representing a subset of about 3% of cases of tetralogy of Fallot in both autopsy and clinical reviews (1). The syndrome is characterized by a ringlike and usually stenotic malformation rather than by the absence of the pulmonary valve, with failure of development of the valve cusps. Another important feature of absent pulmonary valve syndrome is the marked aneurysmal dilatation of the proximal pulmonary arteries, which causes extrinsic compression of the tracheobronchial tree, leading to respiratory symptoms of variable severity (2). The surgical goals are to correct any intracardiac anomaly, prevent right-sided heart failure, and alleviate or prevent bronchial compression and peripheral lung damage. In this video tutorial, we present the straightforward correction of tetralogy of Fallot with absent pulmonary valve with a transannular patch combined with size reduction arterioplasty of bilateral aneurysmal pulmonary arteries. This patient also had a subaortic membrane that was completely removed concomitantly. Our technique shows right ventricular outflow tract reconstruction without using a valved conduit or creating a monocusp patch in order to reduce the incidence of a right ventricular outflow track reoperation. Nonapplication of the right ventricle-pulmonary artery conduit did not affect the early postoperative course or the immediate postoperative outcome.
Topics: Humans; Pulmonary Valve; Tetralogy of Fallot; Cardiac Surgical Procedures; Pulmonary Artery; Reoperation
PubMed: 36345972
DOI: 10.1510/mmcts.2022.071 -
JACC. Clinical Electrophysiology Oct 2021
Topics: Cardiac Surgical Procedures; Defibrillators, Implantable; Humans; Pulmonary Valve; Pulmonary Valve Insufficiency; Tetralogy of Fallot
PubMed: 34674838
DOI: 10.1016/j.jacep.2021.03.014