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The Surgical Approach to Pulmonary Valve Replacement

      Surgical indications for pulmonary valve replacement continue to evolve. Careful attention to technique has improved outcomes, making it an operation that should be carried out with high fidelity.
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      References

        • Kouchoukos NT
        • Blackstone EH
        • Doty DB
        • et al.
        Ventricular septal defect with pulmonary stenosis or atresia.
        in: Barratt-Boyes K Cardiac Surgery. 3rd ed. Churchhill Livingstone, Philadelphia2003: 946-1073
        • Hickey EJ
        • Veldtman G
        • Bradley TJ
        • et al.
        Late risk of outcomes for adults with repaired tetralogy of Fallot from an inception cohort spanning four decades.
        Eur J Cardiothorac Surg. 2009; 35 (discussion 164): 156-164
        • O'Byrne ML
        • Glatz AC
        • Mercer-Rosa L
        • et al.
        Trends in pulmonary valve replacement in children and adults with tetralogy of Fallot.
        Am J Cardiol. 2015; 115: 118-124
        • Egbe AC
        • Vallabhajosyula S
        • Connolly HM.
        Trends and outcomes of pulmonary valve replacement in tetralogy of Fallot.
        Int J Cardiol. 2020; 299: 136-139
        • Khanna AD
        • Hill KD
        • Pasquali SK
        • et al.
        Benchmark outcomes for pulmonary valve replacement using the Society of Thoracic Surgeons Databases.
        Ann Thorac Surg. 2015; 100 (discussion 145–6): 138-145
        • Stout KK
        • Daniels CJ
        • Aboulhosn JA
        • et al.
        2018 AHA/ACC guideline for the management of adults with congenital heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.
        J Am Coll Cardiol. 2019; 73: e81-e192
        • Ferraz Cavalcanti PE
        • Sá MPBO
        • Santos CA
        • et al.
        Pulmonary valve replacement after operative repair of tetralogy of Fallot: Meta-analysis and meta-regression of 3,118 patients from 48 studies.
        J Am Coll Cardiol. 2013; 62: 2227-2243
        • Gengsakul A
        • Harris L
        • Bradley TJ
        • et al.
        The impact of pulmonary valve replacement after tetralogy of Fallot repair: A matched comparison.
        Eur J Cardiothorac Surg. 2007; 32: 462-468
        • Discigil B
        • Dearani JA
        • Puga FJ
        • et al.
        Late pulmonary valve replacement after repair of tetralogy of Fallot.
        J Thorac Cardiovasc Surg. 2001; 121: 344-351
        • Dallaire F
        • Wald RM
        • Marelli A.
        The role of cardiopulmonary exercise testing for decision making in patients with repaired tetralogy of Fallot.
        Pediatr Cardiol. 2017; 38: 1097-1105
        • Morales DL
        • Zafar F
        • Arrington KA
        • et al.
        Repeat sternotomy in congenital heart surgery: no longer a risk factor.
        Ann Thorac Surg. 2008; 86 (discussion 897–902): 897-902
        • Holst KA
        • Dearani JA
        • Burkhart HM
        • et al.
        Risk factors and early outcomes of multiple reoperations in adults with congenital heart disease.
        Ann Thorac Surg. 2011; 92 (discussion 129–30): 122-128
        • Imran Hamid U
        • Digney R
        • Soo L
        • et al.
        Incidence and outcome of re-entry injury in redo cardiac surgery: Benefits of preoperative planning.
        Eur J Cardiothorac Surg. 2015; 47: 819-823
        • Kirmani BH
        • Brazier A
        • Sriskandarajah S
        • et al.
        A meta-analysis of computerized tomography scan for reducing complications following repeat sternotomy for cardiac surgery.
        Interact Cardiovasc Thorac Surg. 2016; 22: 472-479
        • Kogon BE
        • Daniel W
        • Fay K
        • et al.
        Is the liberal use of preoperative 3-dimensional imaging and presternotomy femoral cutdown beneficial in reoperative adult congenital heart surgery?.
        J Thorac Cardiovasc Surg. 2014; 147: 1799-1804
        • Vinnakota A
        • Stewart R
        • Pettersson G.
        Computed tomography better than magnetic resonance imaging for resternotomy risk assessment.
        Ann Thorac Surg. 2017; 104: e191
        • Adibi A
        • Mohajer K
        • Plotnik A
        • et al.
        Role of CT and MRI prior to redo sternotomy in paediatric patients with congenital heart disease.
        Clin Radiol. 2014; 69: 574-580
        • Mustafa MR
        • Neijenhuis RML
        • Furci B
        • et al.
        Neck cannulation for bypass in redo sternotomy in children and adults with congenital heart disease.
        Interact Cardiovasc Thorac Surg. 2020; 31: 108-112
        • Urbanski PP
        • Lenos A
        • Lindemann Y
        • et al.
        Use of a carotid artery for arterial cannulation: side-related differences.
        Thorac Cardiovasc Surg. 2010; 58: 276-279
        • Luciani N
        • Anselmi A
        • De Geest R
        • et al.
        Extracorporeal circulation by peripheral cannulation before redo sternotomy: Indications and results.
        J Thorac Cardiovasc Surg. 2008; 136: 572-577
        • Mastroroberto P
        • Chello M
        • Di Virgilio A
        • et al.
        Usefulness of the axillary artery as vascular access for cardiopulmonary bypass.
        J Cardiovasc Surg (Torino). 2006; 47: 457-460
        • Mojadidi MK
        • Bogush N
        • Caceres JD
        • et al.
        Diagnostic accuracy of transesophageal echocardiogram for the detection of patent foramen ovale: A meta-analysis.
        Echocardiography. 2014; 31: 752-758
        • Kim SY
        • Cho S
        • Lee JH
        • et al.
        Myocardial protective effect of antegrade cardioplegic cardiac arrest versus ventricular fibrillation during cardiopulmonary bypass on immediate postoperative and mid-term left ventricular function in right ventricular outflow tract surgery.
        Artif Organs. 2017; 41: 988-996
        • Mitropoulos FM
        • Kanakis MA
        • Ntellos C
        • et al.
        Pulmonary valve replacement in patients with corrected tetralogy of Fallot.
        J Cardiovasc Thorac Res. 2017; 9: 71-77
        • McKenzie ED
        • Khan MS
        • Dietzman TW
        • et al.
        Surgical pulmonary valve replacement: A benchmark for outcomes comparisons.
        J Thorac Cardiovasc Surg. 2014; 148: 1450-1453
        • Tweddell JS
        • Simpson P
        • Li SH
        • et al.
        Timing and technique of pulmonary valve replacement in the patient with tetralogy of Fallot.
        Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2012; 15: 27-33
        • Sinha L
        • Chery J
        • Jonas RA
        • et al.
        Interposition technique for pulmonary valve replacement.
        World J Pediatr Congenit Heart Surg. 2021; 12: 411-413
        • Stulak JM
        • Dearani JA.
        Technique of mechanical pulmonary valve replacement.
        Op Techs Thorac Card Surg. 2006; 11: 200-206
        • Lee C
        • Lee CH
        • Kwak JG.
        Surgical pulmonary valve insertion.
        Cardiol Young. 2013; 23: 915-920
        • Chen PC
        • Sager MS
        • Zurakowski D
        • et al.
        Younger age and valve oversizing are predictors of structural valve deterioration after pulmonary valve replacement in patients with tetralogy of Fallot.
        J Thorac Cardiovasc Surg. 2012; 143: 352-360
        • Karamlou T
        • Ungerleider RM
        • Alsoufi B
        • et al.
        Oversizing pulmonary homograft conduits does not significantly decrease allograft failure in children.
        Eur J Cardiothorac Surg. 2005; 27: 548-553
        • Askovich B
        • Hawkins JA
        • Sower CT
        • et al.
        Right ventricle-to-pulmonary artery conduit longevity: Is it related to allograft size?.
        Ann Thorac Surg. 2007; 84 (discussion 911–2): 907-911
        • Sonntag SJ
        • Kütting M
        • Ghalati PF
        • et al.
        Effect of pulmonary conduit oversizing on hemodynamics in children.
        Int J Artif Organs. 2015; 38: 548-556
        • Maeda K
        • Lui GK
        • Zhang Y
        • et al.
        Durability of pulmonary valve replacement with large diameter stented porcine bioprostheses.
        Semin Thorac Cardiovasc Surg. 2021; (S1043-0679(21)00192-1)
        • Cramer JW
        • Ginde S
        • Hill GD
        • et al.
        Tricuspid repair at pulmonary valve replacement does not alter outcomes in tetralogy of Fallot.
        Ann Thorac Surg. 2015; 99: 899-904
        • Kogon B
        • Mori M
        • Alsoufi B
        • et al.
        Leaving moderate tricuspid valve regurgitation alone at the time of pulmonary valve replacement: A worthwhile approach.
        Ann Thorac Surg. 2015; 99 (discussion 2122–3): 2117-2122
        • Kurkluoglu M
        • John AS
        • Cross R
        • et al.
        Should tricuspid annuloplasty be performed with pulmonary valve replacement for pulmonary regurgitation in repaired tetralogy of Fallot?.
        Semin Thorac Cardiovasc Surg. 2015; 27: 159-165
        • Lueck S
        • Bormann E
        • Rellensmann K
        • et al.
        Impact of additional tricuspid valve annuloplasty in TOF patients undergoing pulmonary valve replacement.
        J Cardiovasc Surg (Torino). 2019; 60: 268-273
        • Min J
        • Kwak JG
        • Cho S
        • et al.
        Tricuspid valve repair at pulmonary valve replacement in repaired tetralogy of Fallot.
        Pediatr Cardiol. 2021;
        • Deshaies C
        • Trottier H
        • Khairy P
        • et al.
        Tricuspid intervention following pulmonary valve replacement in adults with congenital heart disease.
        J Am Coll Cardiol. 2020; 75: 1033-1043
        • Roubertie F
        • Séguéla PE
        • Jalal Z
        • et al.
        Tricuspid valve repair and pulmonary valve replacement in adults with repaired tetralogy of Fallot.
        J Thorac Cardiovasc Surg. 2017; 154: 214-223
        • Hallbergson A
        • Gauvreau K
        • Powell AJ
        • et al.
        Right ventricular remodeling after pulmonary valve replacement: Early gains, late losses.
        Ann Thorac Surg. 2015; 99: 660-666
        • Heng EL
        • Gatzoulis MA
        • Uebing A
        • et al.
        Immediate and midterm cardiac remodeling after surgical pulmonary valve replacement in adults with repaired tetralogy of Fallot: A prospective cardiovascular magnetic resonance and clinical study.
        Circulation. 2017; 136: 1703-1713