Hemodynamic Results After Reconstruction of the Right Ventricular Outflow Tract in Severe Tetralogy of Fallot With Monocusp Patch

  • D. Regensburger
  • H. H. Sievers
  • P. Lange
  • A. Bernhard
Conference paper

Abstract

Insertion of a patch across the pulmonary valve ring in patients with tetralogy of Fallot will always cause a pulmonary insufficiency, the degree of which being dependent on the hypoplasia of the outflow tract which in turn determines the size of the patch. The clinical and hemodynamic significance of this pulmonary insufficiency is usually judged to be of minimal importance. The often dramatic clinical improvement of the preoperatively cyanotic, dyspneic, and disabled patients after the corrective surgery is dominating.

Keywords

Glutaraldehyde 

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References

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    Macartney FJ, Tandon AP, Ionescu MJ (1979) Right ventricular outflow tract reconstruction with pericardial monocusp patch and valved conduit. In: Tissue heart valves. Butterworths, London BostonGoogle Scholar
  2. 2.
    Marchand P (1967) The use of a cusp-bearing homograft patch to the outflow tract and pulmonary artery in Fallot’s tetralogy and pulmonary valvular stenosis. Thorax 22:497–509PubMedCrossRefGoogle Scholar
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    Sievers HH, Fischer K, Konertz W, Papachrysanthou C, Bernhard A (1977) Hamodyna-mische Resultate nach Rekonstruktion der Ausfluβbahn bei Fallot scher Tetralogie. Infundibulectomie, Erweiterungsplastik oder Umgehungsoperation. Thoraxchirurgie 25:368–373Google Scholar
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    Zavanella C, Miyamoto K, Subramanian S (1978) Reconstruction of the right ventricular outflow tract with a posterior monocusp valve. Cardiovasc Dis 2:128–131Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1981

Authors and Affiliations

  • D. Regensburger
    • 1
  • H. H. Sievers
    • 1
  • P. Lange
    • 1
  • A. Bernhard
    • 1
  1. 1.Department of Cardiovascular Surgery and Department of Pediatric CardiologyUniversity KielKiel 1Germany

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