Prêtre and colleagues [1] report a novel technique of reconstituting the pulmonary annulus and valve complex in repaired tetralogy of Fallot (TOF) patients having a dilated right ventricle related to a transannular patch (TAP) repair. The strategy was used in 23% (12/52) of reoperative patients, with success occurring in 8 of the 12. The reconstituted valve was fully competent in 5 patients and had a mild leak in 3. Gradients were trivial in the 5 patients who had a tricuspid valve and up to a peak gradient of 23 mm Hg for the 3 patients having a bicuspid pulmonary valve.
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机译:Prêtre及其同事[1]报告了一种新技术,该技术可在法洛(TOF)的四联症修复患者中重建肺环和瓣膜复合体,该患者的右心室扩张与跨瓣膜(TAP)修复有关。该策略在23%(12/52)的再次手术患者中使用,成功的发生在12位患者中的8位。重建的瓣膜在5位患者中完全胜任,在3位中有轻度渗漏。在5位患者中,梯度微不足道对于三尖瓣双肺瓣膜病患者,三尖瓣膜的峰值梯度最高为23 mm Hg。
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