Polytetrafluoroethylene monocusp valve technique for right ventricular outflow tract reconstruction

Mark W. Turrentine, Ryan P. McCarthy, Palaniswamy Vijay, Andrew C. Fiore, John W. Brown

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Nonvalve transannular patch repair of right ventricular outflow tract obstructive (RVOTO) defects results in pulmonary insufficiency, which can contribute to early postoperative right ventricular dysfunction. In both animal and clinical studies, monocusp valves provide perioperative RVOT competence and improved right ventricular functional characteristics. In these reports, monocusp leaflet construction with 0.1-mm polytetrafluoroethylene (PTFE) appeared equal, or superior, to biologic monocusp valves. Construction of the polytetrafluoroethylene monocusp valve is an inexpensive and straightforward way to create a competent RVOT in a variety of RVOTO anomalies. Based on our clinical experience, it effectively prevents short-term and significantly reduces midterm pulmonary insufficiency without evidence of stenosis.

Original languageEnglish (US)
Pages (from-to)2202-2205
Number of pages4
JournalAnnals of Thoracic Surgery
Volume74
Issue number6
DOIs
StatePublished - Dec 1 2002

    Fingerprint

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this