Pulmonary Valve Reconstruction Using Autologous Pericardium: A Promising Technique to Consider.

Ríos-Ortega, Josías C; Sisniegas-Razón, Josué; Yépez-Calderón, Cristian; Dávila-Durand, Manuel; Robles-Velarde, Víctor; Talledo-Paredes, Luisa; Aranda-Pretell, Necemio · Ann Thorac Surg · 2023

case_series · Level IV

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Abstract

Pulmonary valve (PV) surgical treatment is uncommon in adults; however, when it is indicated, replacement with a prosthesis is suggested. Nevertheless, mechanical prostheses have an inherent risk of complications derived from anticoagulation and thrombosis, and biologic prostheses do not have adequate long-term durability. In this context, PV reconstruction surgery emerges as an alternative, avoiding anticoagulation and promising good durability. We present our experience with this procedure in 3 patients with severe PV insufficiency and 1 patient with severe PV stenosis.

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