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

EYİLETEN Z., ARAL A., AKAR A. R., UÇAR T., Tutar E., ATALAY S., ...Daha Fazla

Minerva Chirurgica, cilt.62, sa.5, ss.417-419, 2007 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 62 Sayı: 5
  • Basım Tarihi: 2007
  • Dergi Adı: Minerva Chirurgica
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.417-419
  • Anahtar Kelimeler: Pulmonary valve insufficiency, Right, Surgery - Heart valve prosthesis - Tetralogy of fallot - Ventricular dysfunction
  • Ankara Üniversitesi Adresli: Evet

Özet

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 unconnected 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.