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Pulmonary valve preservation and restoration strategies for repair of tetralogy of Fallot*

  • Constantine D. Mavroudis (a1), Jennifer Frost (a2) and Constantine Mavroudis (a3)


Despite tremendous advances in surgical treatment of tetralogy of Fallot, augmenting the small right ventricular outflow tract remains a challenge. Transannular patch augmentation revolutionised surgical management, but did so at the expense of rendering patients with pulmonary insufficiency and the resulting problems associated therewith. Recent surgical efforts have focused on pulmonary valve preservation at initial correction and pulmonary valve restoration after transannular patching, with favourable results. In this manuscript, we review methods of pulmonary valve preservation and restoration.


Corresponding author

Correspondence to: C. Mavroudis, MD, Johns Hopkins Children’s Heart Surgery, Florida Hospital for Children, 2501N Orange Ave, Suite 540, Orlando, FL 32804, United States of America. Tel: +407 303 3697; Fax: 407 303 3634; E-mail:


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Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).



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Pulmonary valve preservation and restoration strategies for repair of tetralogy of Fallot*

  • Constantine D. Mavroudis (a1), Jennifer Frost (a2) and Constantine Mavroudis (a3)


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