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CURRENT ISSUEMINERVA CHIRURGICA

A Journal on Surgery

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877

Frequency: Bi-Monthly

ISSN 0026-4733

Online ISSN 1827-1626

 

Minerva Chirurgica 2007 October;62(5):417-9

    CASE REPORTS

First pulmonary valve replacement with Freedom Solo stentless valve in an adolescent. A case report

Eyileten Z. 1, Aral A. 1, Akar A. R. 1, Ucar T. 2, Tutar E. 2, Atalay S. 2, Uysalel A. 1

1 Department of Cardiovascular Surgery Heart Center University of Ankara School of Medicine Cebeci, Ankara, Turkey
2 Department of Pediatric Cardiology Cebeci Campus University of Ankara School of Medicine Cebeci, Ankara, Turkey

Tetralogy of Fallot (TOF) is a common form of cyanotic heart disease. Complete surgical correction in younger age group offers good long-term results with reasonable morbidity and improved prognosis in patients with TOF. However, following corrective surgery pulmonary valve replacement (PVR) might be required for residual pulmonary regurgitation in order to avoid irreversible right ventricular remodeling. Otherwise, residual uncorrected pulmonary regurgitation may lead to right ventricular dilatation, impaired biventricular function, ventricular arrhythmias and limited exercise capacity. We report the first case of Freedom Solo stentless valve (Sorin Group, Saluggia, Italy) implantation in the pulmonary position in an adolescent with severe pulmonary insufficiency 12 years after the repair of TOF. Pericardial stentless valves may be an alternative choice for pulmonary valve replacement to improve right ventricular contractile recovery and remodeling after PVR and may have impact on long-term survival.

language: English


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