{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:54:42Z","timestamp":1777467282012,"version":"3.51.4"},"reference-count":29,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>Tetralogy of Fallot often requires reconstruction of the right ventricular outflow tract with a transannular patch (TAP), but this renders the pulmonary valve incompetent and eventually leads to right ventricular dysfunction.<\/jats:p>\n        <jats:p>We retrospectively evaluated the efficacy of a reconstructed pulmonary valve and annulus in 70 patients who underwent, from December 2006 through December 2010, complete correction of tetralogy of Fallot. We divided the 70 patients into 2 groups in accordance with whether they required (n=50) or did not require (n=20) a TAP. We used autologous untreated pericardium to fashion the TAP and to create both an annulus of the correct size and a competent pulmonary valve with native leaflets. We evaluated the efficiency of this procedure both functionally and anatomically.<\/jats:p>\n        <jats:p>The median age of the patients was 11 years (range, 2\u201338 yr). There were 56 males, with no significant difference in sexual distribution between groups. The clinical follow-up was 88% for 57.5 months, and the echocardiographic follow-up was 80% for 36 months. There was no significant difference in outflow gradient or in the occurrence of pulmonary insufficiency between the TAP group (none, 31; mild, 12; moderate, 6; and severe, 1) and the No-TAP group (none, 16; moderate, 2; and severe, 2) (<jats:italic>P<\/jats:italic>=0.59). Nor was there any thickening or calcification in the constructed valves.<\/jats:p>\n        <jats:p>We conclude that pulmonary valves constructed of untreated autologous pericardium performed as well as native valves after total tetralogy of Fallot correction at midterm.<\/jats:p>","DOI":"10.14503\/thij-14-4609","type":"journal-article","created":{"date-parts":[[2016,6,6]],"date-time":"2016-06-06T16:11:30Z","timestamp":1465229490000},"page":"207-213","source":"Crossref","is-referenced-by-count":6,"title":["Fresh Autologous Pericardium to Reconstruct the Pulmonary Valve at the Annulus When Tetralogy of Fallot Requires a Transannular Patch at Midterm"],"prefix":"10.14503","volume":"43","author":[{"given":"Shantanu","family":"Pande","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jugal K.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.R.","family":"Siddartha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anubhav","family":"Bansal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surendra K.","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabhat","family":"Tewari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Kapoor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"23","key":"i1526-6702-43-3-207-b1","series-title":"Circulation","first-page":"2938","article-title":"Differential regurgitation in branch pulmonary arteries after repair of tetralogy of Fallot: a phase-contrast cine magnetic resonance study","volume":"107","year":"2003","unstructured":"Kang\n              IS, \n            \n              Redington\n              AN, \n            \n              Benson\n              LN, \n            \n              Macgowan\n              C, \n            \n              Valsangiacomo\n              ER, \n            \n              Roman\n              K, \n          \n          et al. 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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu2005:128\u201331."},{"issue":"5","key":"i1526-6702-43-3-207-b5","series-title":"Heart","first-page":"510","article-title":"Influence of the pulmonary annulus diameter on pulmonary regurgitation and right ventricular pressure load after repair of tetralogy of Fallot","volume":"88","year":"2002","unstructured":"Uebing\n              A, \n            \n              Fischer\n              G, \n            \n              Bethge\n              M, \n            \n              Scheewe\n              J, \n            \n              Schmiel\n              F, \n            \n              Stieh\n              J, \n          \n          et al. Influence of the pulmonary annulus diameter on pulmonary regurgitation and right ventricular pressure load after repair of tetralogy of Fallot. 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Interact Cardiovasc Thorac Surg2013;17(6):956\u201362."},{"issue":"11","key":"i1526-6702-43-3-207-b17","series-title":"J Am Coll Cardiol","first-page":"2044","article-title":"Right ventricular function in adults with repaired tetralogy of Fallot assessed with cardiovascular magnetic resonance imaging: detrimental role of right ventricular outflow aneurysms or akinesia and adverse right-to-left ventricular interaction","volume":"40","year":"2002","unstructured":"Davlouros\n              PA, \n            \n              Kilner\n              PJ, \n            \n              Hornung\n              TS, \n            \n              Li\n              W, \n            \n              Francis\n              JM, \n            \n              Moon\n              JC, \n          \n          et al. 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Cardiol Young2008;18(2):141\u20136."},{"issue":"3","key":"i1526-6702-43-3-207-b29","series-title":"Kyobu Geka","first-page":"249","article-title":"Pulmonary valve replacement due to ectopic ossification on expanded polytetrafluoroethylene cusp after tetralogy of Fallot repair; report of a case [in Japanese]","volume":"64","year":"2011","unstructured":"Maekawa\n              Y, \n            \n              Sakamoto\n              T, \n            \n              Umezu\n              K, \n            \n              Ohashi\n              N, \n            \n              Harada\n              Y, \n            \n              Yasukochi\n              S, \n          \n          et al. Pulmonary valve replacement due to ectopic ossification on expanded polytetrafluoroethylene cusp after tetralogy of Fallot repair; report of a case [in Japanese]. 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