Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 3

Pulmonary Valve Replacement Via Left Anterior Thoracotomy: An Alternative to High-risk Sternotomy

Sameh M Said1* and Jamie Lohr2

1Division of Pediatric and Adult Congenital Cardiac Surgery, Maria-Fareri Children’s Hospital, Westchester Medical Center, Valhalla, New York, USA
2Division of Pediatric Cardiology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

*Corresponding Author: Sameh M Said, Division of Pediatric and Adult Congenital Cardiac Surgery, Maria-Fareri Children’s Hospital, Westchester Medical Center, Valhalla, New York, USA.

Received: December 30, 2022; Published: February 07, 2023

Abstract

Pulmonary valve replacement is considered the most common procedure in adults with congenital heart disease and the most common indication has been related to free pulmonary regurgitation after previous tetralogy of Fallot repair. The procedure is typically performed via a repeat median sternotomy, however recently left anterior thoracotomy has emerged as an alternative especially in challenging reoperative settings.

Keywords: Pulmonary Valve Replacement; Left Anterior Thoracotomy; Mini-PVR; Tetralogy of Fallot

Bibliography

  1. Khanna AD., et al. “Benchmark outcomes for pulmonary valve replacement using the Society of Thoracic Surgeons databases”. The Annals of Thoracic Surgery 100 (2015): 138-146.
  2. Holst KA., et al. “Risk factors and early outcomes of multiple reoperations in adults with congenital heart disease”. The Annals of Thoracic Surgery1 (2011): 122-128; discussion 129-130.
  3. Nellis JR., et al. “Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair”. Innovations2 (2020): 106-110.
  4. Said SM. “Minimally invasive pulmonary valve replacement via left anterior minithoracotomy”. JTCVS Techniques6 (2020): 127-129.
  5. Said SM., et al. “Pulmonary valve replacement via left anterior minithoracotomy: Lessons learned and early experience”. Journal of Cardiac Surgery 4 (2021): 1305-1312.
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  7. Tatewaki H., et al. “Pulmonary valve replacement via left thoracotomy as an alternative to resternotomy”. The Annals of Thoracic Surgery 110 (2020): 537-539.

Citation: Sameh M Said and Jamie Lohr. “Pulmonary Valve Replacement Via Left Anterior Thoracotomy: An Alternative to High-risk Sternotomy". Acta Scientific Clinical Case Reports 4.3 (2023): 08-10.

Copyright: © 2022 Sameh M Said and Jamie Lohr. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.