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We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.<\/jats:p>","DOI":"10.1177\/1556984520911025","type":"journal-article","created":{"date-parts":[[2020,4,30]],"date-time":"2020-04-30T15:19:47Z","timestamp":1588259987000},"page":"106-110","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8875-1380","authenticated-orcid":false,"given":"Joseph R.","family":"Nellis","sequence":"first","affiliation":[{"name":"Department of Surgery, Duke University Hospitals, Durham, NC, USA"},{"name":"Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, 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