Introduction
Severe right heart failure with serious consequences may develop after pulmonary regurgitation caused by total correction of tetralogy of Fallot. We performed this thesis to present early outcomes of surgical pulmonary valve replacement (SPVR) in these patients.
Patients and methods
From April 2019 to April 2021, 38 patients, comprising 25 males and 13 females, with a mean age of 15.76 ± 6.24 years, underwent SPVR after 12.63 ± 4.76 years from the first operation. Patients underwent SPVR with either tissue or mechanical valves using the cross-clamp or beating technique. Repair of tricuspid, closure of residual ventricular septal defect, or right ventricle aneurysm resection may be done during the procedure. Follow-up radiograph and transthoracic echocardiography were done after 6 months and 1 year after the procedure. Follow-up cardiac magnetic resonance imaging was done on an average 1 year after the procedure.
Results
Zero mortality was seen in the perioperative period. The mean hospital stay was 6.74 ± 1.08 days. The results of follow-up radiograph, transthoracic echocardiography, and cardiac magnetic resonance demonstrate that after SPVR the right ventricle experiences improvement on its volumes and systolic function.
Conclusion
SPVR seems to be a positive approach and is recommended to be done at the correct time.