Surgical Pulmonary Valve Implantation

  • Alessandro Giamberti
  • Giuseppe Pomè
  • Alessandro Frigiola


With the increasing number of late survivors of surgeries for repair of ToF, the surgical management of the possible surgical sequelae, such as chronic pulmonary-valve insufficiency (PVI) and right ventricular (RV) dysfunction, has become a frequent problem. This is a timely topic of increasing clinical interest, as shown by the fact that pulmonary-valve replacement (PVR) for PVI is the reoperation most frequently performed today in adults with congenital heart disease (ACHD) [1, 2]. Long-standing chronic PVI, in these patients, can result in RV dilatation and failure, increasing tricuspid regurgitation, impaired exercise performance, and supraventricular or ventricular arrhythmias.


Right Ventricular Right Ventricular Outflow Tract Bioprosthetic Valve Right Ventricular Dilatation Homograft Valve 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Alessandro Giamberti
    • 1
  • Giuseppe Pomè
  • Alessandro Frigiola
  1. 1.Cardio-Thoracic SurgeryIRCCS Policlinico San DonatoSan Donato Milanese (Mi)Italy

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