Tetralogy of Fallot: transatrial reconstruction of the right ventricle outlet tract with the hypoplastic pulmonary valve preservation in infants

Authors: Atmashkin A.A., Kim A.I., Rogova T.V., GrigoryantsT.R., Ediev M.O.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

Cite as: Atmashkin A.A., Kim A.I., Rogova T.V., Grigoryants T.R., Ediev M.O. Tetralogy of Fallot: transatrial reconstruction of the right ventricle outlet tract with the hypoplastic pulmonary valve preservation in infants. Children’s Heart and Vascular Diseases. 2023; 20 (2): 87–99 (in Russ.). DOI: 10.24022/1810-0686-2023-20-2-87-99

Received / Accepted: 10.05.2023 / 13.06.2023

Keywords: tetralogy of Fallot transatrial-transpulmonary correction pulmonary artery valve

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Abstract

Tetralogy of Fallot (TF) is one of the most studied congenital heart disease, as evidenced by a large number of published works in both domestic and foreign literature.

The choice of surgical treatment tactics should take into account late complications, such as right ventricular dysfunction, pulmonary artery stenosis and pulmonary valve insufficiency, which can develop for decades in the future and directly affect the quality of life. Insufficiency of the pulmonary artery valve after TF correction, requiring intervention on the pulmonary artery valve, is one of the causes of right ventricular dysfunction, atrial and ventricular arrhythmias, leading to sudden cardiac death. The comparison of transannular plastic surgery with other types of the right ventricular outlet reconstruction, including transatrial-transpulmonary correction, should be considered extremely relevant at the present time, as well as the use of various types of operations aimed at preserving the function of the pulmonary artery valve, should be analyzed.

References

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About the authors

Anton A. Atmashkin, Junior Researcher, Cardiovascular Surgeon; ORCID
Aleksey I. Kim, Dr. Med. Sci., Professor, Head of Department of Cardiac Surgery of Newborns and Infants; ORCID
Tatyana V. Rogova, Dr. Med. Sci., Pediatric Cardiologist; ORCID
Tigran R. Grigoryants, Cand. Med. Sci., Senior Researcher, Cardiovascular Surgeon; ORCID
Murat O. Ediev, Junior Researcher, Cardiovascular Surgeon; ORCID

Chief Editor

Konstantin V. Shatalov
MD, PhD, DSc, Professor
Bakoulev National Medical Research Center for Cardiovascular Surgery

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