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Technique for Neo-Pulmonary Valve Creation With Living Tissue for Repair of Atrioventricular Septal Defect and Tetralogy of Fallot.

Authors:
Linda J Schulte Paighton C Miller Jacob R Miller Dilip Nath Pirooz Eghtesady

World J Pediatr Congenit Heart Surg 2022 07;13(4):499-502

Department of Surgery, Division of Cardiothoracic Surgery, Section of Pediatric Cardiothoracic Surgery, 12275Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, Missouri, USA.

Long-standing effects of pulmonary regurgitation after transannular patch repair in Tetralogy of Fallot (ToF) can be especially deleterious in the setting of combined ToF and complete atrioventricular septal defect (CAVSD). We present a technique for a complete repair of combined ToF/CAVSD using right atrial appendage tissue to create a competent neo-pulmonary valve. This technique provides advantages of right heart protection via pulmonary valve competence and the use of living tissue capable of growth with the patient, potentially obviating the need for repeat interventions.

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http://dx.doi.org/10.1177/21501351221096048DOI Listing
July 2022

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