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You are here: Contents > 2013 > Volume 22 Number 3 May 2013 > CASE REPORT > Pulmonary Valve-Sparing Technique in Patient with Tetralogy of Fallot and Anomalous Coronary Artery Crossing the Infundibulum

Pulmonary Valve-Sparing Technique in Patient with Tetralogy of Fallot and Anomalous Coronary Artery Crossing the Infundibulum

Vladimiro L. Vida1, Fabio Zucchetta1, Massimo A. Padalino1, Ornella Milanesi2, Giovanni Stellin1

1Department of Cardiac, Thoracic and Vascular Sciences, Pediatric and Congenital Cardiac Surgery Unit, Pediatric Cardiology Unit, 2Department of Pediatrics, University of Padua, Italy

A 15-month-old girl who presented at birth with tetralogy of Fallot and was followed after an echocardiographic diagnosis of an anomalous origin of the right coronary artery from the left anterior descending coronary artery, crossing the right ventricular infundibulum very close to the pulmonary valve annulus, was scheduled for repair. At surgery, after routine trans-atrial/trans-pulmonary repair, the pulmonary valve (PV) was balloon-dilated through the right ventricular  outflow tract (RVOT) up to a ‘normal size’ PV annulus, based on the patient’s body surface area. Two-dimensional echocardiography at discharge revealed an adequate relief of the RVOT obstruction, with a normal-sized PV annulus and a competent PV. In this subset of patients, this technique can be considered an additional surgical strategy to avoid the use of conduits.

The Journal of Heart Valve Disease 2013;22:425-427

Pulmonary Valve-Sparing Technique in Patient with Tetralogy of Fallot and Anomalous Coronary Artery Crossing the Infundibulum

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