{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:48:10Z","timestamp":1772639290870,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While the long-term prognosis of Tetralogy of Fallot (TOF) repair is favourable, the frequency of interventions for pulmonary valve insufficiency during follow-up remains high, raising concerns regarding its invasiveness. This study aimed to evaluate the safety measures and strategies for the perioperative management of pulmonary valve interventions following TOF repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From November 2022 to December 2023, interventions in the pulmonary artery for TOF were performed in 17 patients; a retrospective analysis was conducted on all patients. Preoperative haemodynamic evaluation was performed using 4D-flow magnetic resonance imaging in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The 17 patients included in the study had a mean age of 24.1 \u00b1 14 years. The mean duration from repair to re-intervention was 18.2 \u00b1 12 years, with a preoperative right ventricular ejection fraction of 42.3 \u00b1 12 %. The mean surgical time, cardiopulmonary bypass time, and aortic cross-clamp time were 389 \u00b1 96, 210 \u00b1 67, and 106 \u00b1 48 min, respectively. Pulmonary valve replacement was performed in eight patients, with seven using porcine aortic valves and one using a bovine pericardial valve. The Rastelli-type procedure was performed in nine cases, with seven using expanded polytetrafluoroethylene valved conduits and two using composite grafts of a porcine bioprosthetic valve and Valsalva graft. Additional procedures included right ventricular outflow tract myectomy in nine patients, pulmonary artery reconstruction in five, cryoablation in four, coronary artery bypass grafting in three, tricuspid valve repair in three, and ventricular septal defect closure in one. There were no cases of early mortality, stroke, or re-operation within 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Interventions on the pulmonary valves following TOF repair can be safely performed with appropriate perioperative management. The primary goal of surgical pulmonary valve replacement is to preserve the right ventricular function and reconstruct a smooth pathway from the right ventricle to the pulmonary artery, considering future transcatheter interventions. Further long-term follow-up is necessary to assess outcomes, such as remote mortality, right ventricular function, and arrhythmia occurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111406","type":"journal-article","created":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T12:01:14Z","timestamp":1746273674000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Perioperative management and outcomes of surgical pulmonary valve replacement following tetralogy of fallot repair: A retrospective study"],"prefix":"10.1097","volume":"131","author":[{"given":"Chiaki","family":"Aichi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Itatani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Nakai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takumi","family":"Kawase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiryo","family":"Haibara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoki","family":"Ozoe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisao","family":"Suda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-87-20260304","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1161\/CIRCULATIONAHA.114.009454","article-title":"Unnatural history of tetralogy of Fallot; prospective follow-up of 40 years after surgical correction","volume":"130","author":"Cuypers","year":"2014","journal-title":"Circulation"},{"key":"R2-87-20260304","doi-asserted-by":"crossref","DOI":"10.1097\/JS9.0000000000000940","article-title":"Kerwan A and Agha R for the PROCESS Group. Preferred reporting of case series in surgery (PROCESS) 2023 guidelines","author":"Mathew","year":"2023","journal-title":"Int. J. Surg"},{"key":"R3-87-20260304","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00000658-195509000-00010","article-title":"Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects; report of first ten cases","volume":"142","author":"Lillehei","year":"1955","journal-title":"Ann. Surg"},{"key":"R4-87-20260304","first-page":"8","article-title":"Current outcomes and treatment of tetralogy of Fallot","author":"van der Ven","year":"2019","journal-title":"F1000 Fac Rev-1530"},{"key":"R5-87-20260304","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/ejcts\/ezs219","article-title":"Mid-term results of bioprosthetic pulmonary valve replacement in pulmonary regurgitation after tetralogy of Fallot repair","volume":"42","author":"Jang","year":"2012","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R6-87-20260304","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/S1010-7940(00)00570-4","article-title":"Tricuspid valve replacement with the St. Jude Medical valve: 19 years of experience","volume":"18","author":"Kawano","year":"2000","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R7-87-20260304","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.jtcvs.2010.12.020","article-title":"Durability of bioprosthetic valves in the pulmonary position: long-term follow-up of 181 implants in patients with congenital heart disease","volume":"142","author":"Lee","year":"2011","journal-title":"J. Thorac. Cardiovasc. Surg"},{"issue":"4","key":"R8-87-20260304","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.hlc.2009.10.009","article-title":"Mid-term results of the Hancock II valve and Carpentier-Edward Perimount valve in the pulmonary portion in congenital heart disease","volume":"19","author":"Kwak","year":"2010","journal-title":"Heart Lung Circ"},{"issue":"2","key":"R9-87-20260304","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.jtcvs.2019.11.134","article-title":"Long-term durability of bioprosthetic valves in pulmonary position: pericardial versus porcine valves","volume":"160","author":"Kwak","year":"2020","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R10-87-20260304","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1016\/j.jtcvs.2017.02.024","article-title":"Malrotated sinus vortices in straight graft valve-sparing aortic root treatment: a matter of concern?","volume":"154","author":"Oechtering","year":"2017","journal-title":"J. Thorac. Cardiovasc. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225005929?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225005929?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:06:22Z","timestamp":1772618782000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111406","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-02-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}