{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:59:23Z","timestamp":1747173563989,"version":"3.40.5"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951122000105_sa1\"><jats:title>Objective:<\/jats:title><jats:p>Pulmonary insufficiency requiring reintervention frequently occurs after primary tetralogy of Fallot repair. Repeat interventions present a challenge for both the surgeon and patient. We compare a minimally invasive, 5 cm left anterior mini-incision to redo median sternotomy for pulmonary valve replacement in tetralogy of Fallot patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122000105_sa2\"><jats:title>Methods:<\/jats:title><jats:p>Following Internal Review Board approval, we conducted a single institution retrospective review of patients with tetralogy of Fallot who underwent pulmonary valve replacement via redo median sternotomy or left anterior mini-incision between 13 July, 2016 and 6 March, 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122000105_sa3\"><jats:title>Results:<\/jats:title><jats:p>Twenty-three patients underwent pulmonary valve replacement following primary tetralogy of Fallot repair between March 2016 and March 2020. Twelve patients received a redo-median sternotomy from March 2016 to August 2018. Left anterior mini-incision was first offered in August of 2018 and was chosen by all eleven patients thereafter. The two groups had similar baseline characteristics including preoperative pulmonary valve dysfunction. Early trends suggest a longer cardiopulmonary bypass time for patients who received left anterior mini-incisions. Other outcomes were comparable, including operative times, blood product requirements, residual pulmonary valve dysfunction, postoperative pain, narcotic requirements, ICU length of stay, total length of stay, and postoperative complications.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122000105_sa4\"><jats:title>Conclusions:<\/jats:title><jats:p>In patients who have previously undergone primary repairs of tetralogy of Fallot, outcomes for pulmonary valve replacement via left anterior mini-incision are comparable to those via redo median sternotomy.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951122000105","type":"journal-article","created":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T07:22:14Z","timestamp":1643008934000},"page":"21-25","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of median sternotomy and left anterior mini-incision for pulmonary valve replacement following primary tetralogy of Fallot repair"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0621-976X","authenticated-orcid":false,"given":"Steven","family":"Thornton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Nellis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas D.","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Haney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Turek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"S1047951122000105_ref13","unstructured":"13. Bird, J , Cain, K , Dalal, S , et\u00a0al. Peri-operative pain management \u2013 equianalgesic opioid dose conversion. 2020, https:\/\/www.mdanderson.org\/documents\/for-physicians\/algorithms\/clinical-management\/clin-management-post-op-pain-web-algorithm.pdf."},{"key":"S1047951122000105_ref1","doi-asserted-by":"publisher","DOI":"10.2217\/fca.11.23"},{"key":"S1047951122000105_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.008396"},{"key":"S1047951122000105_ref14","first-page":"777","article-title":"The opportunities and limitations of minimally invasive cardiac surgery","volume":"114","author":"Doenst","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"S1047951122000105_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.03.082"},{"key":"S1047951122000105_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.08.018"},{"key":"S1047951122000105_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00284-2"},{"key":"S1047951122000105_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.01.008"},{"key":"S1047951122000105_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-015-0381-z"},{"key":"S1047951122000105_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.03.102"},{"key":"S1047951122000105_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-019-1000-1"},{"key":"S1047951122000105_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(98)00123-7"},{"key":"S1047951122000105_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1556984519884308"},{"key":"S1047951122000105_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911020"},{"key":"S1047951122000105_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911026"},{"key":"S1047951122000105_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2014.07.749"},{"key":"S1047951122000105_ref6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.627224"},{"key":"S1047951122000105_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.08.227"},{"key":"S1047951122000105_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911025"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951122000105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T14:07:56Z","timestamp":1681481276000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951122000105\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,24]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["S1047951122000105"],"URL":"https:\/\/doi.org\/10.1017\/s1047951122000105","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2022,1,24]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}