Use of a Dacron Annular Sparing Versus Limited Transannular Patch With Nominal Pulmonary Annular Expansion in Infants With Tetralogy of Fallot Bartholomew.

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Use of a Dacron Annular Sparing Versus Limited Transannular Patch With Nominal Pulmonary Annular Expansion in Infants With Tetralogy of Fallot Bartholomew V. Simon, MD, Michael F. Swartz, PhD, Matthew Egan, MD, Jill M. Cholette, MD, Francisco Gensini, MD, George M. Alfieris, MD The Annals of Thoracic Surgery Volume 103, Issue 1, Pages 186-192 (January 2017) DOI: 10.1016/j.athoracsur.2016.05.056 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Echocardiogram image of a 4-chamber view demonstrating where measurements were taken for the right ventricle width below the tricuspid valve apparatus, and length from the tricuspid valve apparatus to the right ventricular apex. The Annals of Thoracic Surgery 2017 103, 186-192DOI: (10.1016/j.athoracsur.2016.05.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Decision algorithm in the treatment of tetralogy of Fallot (ToF) with either a limited transannular patch with nominal pulmonary annular expansion or annular sparing (AS) right ventricular outflow tract (RVOT) patch. (BT = Blalock-Taussig; PV = pulmonary valve.) The Annals of Thoracic Surgery 2017 103, 186-192DOI: (10.1016/j.athoracsur.2016.05.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Schematic of incisions for the (A, C) limited transannular patch and (B, D) annular sparing approaches. The Annals of Thoracic Surgery 2017 103, 186-192DOI: (10.1016/j.athoracsur.2016.05.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Freedom from severe pulmonary insufficiency between the limited transannular patch (LTAP) and annular sparing (AS) groups. (PI = pulmonary insufficiency.) The Annals of Thoracic Surgery 2017 103, 186-192DOI: (10.1016/j.athoracsur.2016.05.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Freedom from reoperation between the limited transannular patch (LTAP) and annular sparing (AS) groups. The Annals of Thoracic Surgery 2017 103, 186-192DOI: (10.1016/j.athoracsur.2016.05.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions