Paul M. Kirshbom, MD, James J. Jaggers, MD, Ross M. Ungerleider, MD

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Presentation transcript:

Tetralogy of fallot with absent pulmonary valve: Simplified technique for homograft repair Paul M. Kirshbom, MD, James J. Jaggers, MD, Ross M. Ungerleider, MD The Journal of Thoracic and Cardiovascular Surgery Volume 118, Issue 6, Pages 1125-1127 (December 1999) DOI: 10.1016/S0022-5223(99)70116-9 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 The main and branch pulmonary artery tissue is removed entirely, leaving “cuffs” of pulmonary artery from which the lobar/segmental branches arise. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1125-1127DOI: (10.1016/S0022-5223(99)70116-9) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 With the aorta retracted laterally, the posterior aspects of the pulmonary artery “cuffs” are anastomosed to create a new pulmonary artery bifurcation. A pulmonary homograft is then anastomosed distally. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1125-1127DOI: (10.1016/S0022-5223(99)70116-9) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 The proximal pulmonary homograft anastomosis is performed to the distal aspect of the right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1125-1127DOI: (10.1016/S0022-5223(99)70116-9) Copyright © 1999 Mosby, Inc. Terms and Conditions