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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.

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Presentation on theme: "Use of a Dacron Annular Sparing Versus Limited Transannular Patch With Nominal Pulmonary Annular Expansion in Infants With Tetralogy of Fallot  Bartholomew."— Presentation transcript:

1 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 (January 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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

5 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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


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