PMID: 9647091Jul 1, 1998Paper

Truncal valve repair: initial experience in neonates

The Annals of Thoracic Surgery
M D BlackR M Freedom

Abstract

The identification of moderate to severe preoperative truncal valve regurgitation has been synonymous with significant postoperative mortality after neonatal repair of truncus arteriosus. Spurned by the deficiencies of current truncal valve substitutes surgeons are once again reexamining the option of truncal valve reparative techniques. From May 1996 until June 1997, 8 children underwent correction of truncus arteriosus. A retrospective analysis was conducted. There was one in-hospital death secondary to a postoperative massive coronary air embolism. Moderate-to-severe truncal valve regurgitation was identified clinically and confirmed with cardiac ultrasound in 3 neonates with a mean age of 7 days (range, 4 to 12 days) all with quadracusp truncal valves. Successful truncal valve repair was accomplished in 2 infants, with a third neonate requiring homograft replacement with coronary reimplantation for failure in achieving valvular competence after attempted valvuloplasty. Postoperative echocardiograms in those neonates who underwent truncal valve repair confirmed a functional "tricuspid" valve with only mild to mild-plus regurgitation. We give further credence to the hypothesis that primary neonatal truncal valve repair is fea...Continue Reading

References

Nov 1, 1990·The Annals of Thoracic Surgery·R C ElkinsW M Thompson
Apr 1, 1989·The Annals of Thoracic Surgery·E L BoveA Rosenthal
Oct 1, 1974·Annals of Surgery·M R De LevalD D Mair
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Citations

May 28, 2005·The Annals of Thoracic Surgery·Takashi MiyamotoAndreas E Urban
Aug 10, 1999·Journal of the American College of Cardiology·J M WilliamsB W McCrindle
Apr 30, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Patrick O MyersChristopher W Baird
Mar 15, 2013·Interactive Cardiovascular and Thoracic Surgery·Gianluigi PerriAdriano Carotti
Jan 1, 2010·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Diana Aicher, Hans-Joachim Schäfers
May 1, 2007·The Journal of Thoracic and Cardiovascular Surgery·John A HawkinsL LuAnn Minich
Dec 25, 2007·The Annals of Thoracic Surgery·Roland HenaineAlain Serraf
Sep 28, 2010·The Annals of Thoracic Surgery·Aditya K KazaJohn A Hawkins
Feb 23, 2008·The Annals of Thoracic Surgery·Kathrin I SchmidtHans-Joachim Schäfers
Nov 29, 2005·Journal of Cardiac Surgery·Chawki ElzeinCarlos Ruiz
Aug 12, 2009·Congenital Heart Disease·Simin BahramiMark D Plunkett
Mar 1, 2000·The Journal of Thoracic and Cardiovascular Surgery·M JahangiriR A Jonas
Dec 31, 2015·World Journal for Pediatric & Congenital Heart Surgery·William L PatrickFrank L Hanley

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