Pulmonary Valve Replacement in Repaired Tetralogy of Fallot Through Limited Left Anterolateral Thoracotomy: An Alternative to Repeat Sternotomy

Ramman TR, Chowdhuri KR, Raja N, Girotra S, Azad S, Iyer PU, Iyer KS.World J Pediatr Congenit Heart Surg. 2020 May;11(3):346-349. doi: 10.1177/2150135120908868.PMID: 32294010



We report two patients with repaired tetralogy of Fallot who underwent pulmonary valve replacement through a limited left anterolateral thoracotomy. We describe the technique in detail. Both patients were at risk of cardiac injury during repeat sternotomy. This approach reliably avoids the risk of cardiac injury during repeat sternotomy and appears to be safe, simple, and reproducible.