A Clinical Case of Successful Surgical Correction of Tetralogy of Fallot by Using the Right Atrial Appendage as a Neopulmonary Valve


Nurkeyev B. Marassulov S. Aldabergenov Y. Adilbekova A. Murzabayeva S. Kuandykova E. Akhmoldaeva A.
2024National Scientific Medical Center

Journal of Clinical Medicine of Kazakhstan
2024#21Issue 471 - 73 pp.

Tetralogy of Fallot (TOF) is a common cardiac malformation characterized by reduced pulmonary circulation. Long-term preservation of neopulmonary bicuspid valve function is crucial in paediatric cardiac surgery. In 2019, Iranian cardiac surgeon Amirghof ran A. introduced a novel method of forming a neopulmonary valve f rom the right atrial appendage. Despite numerous previous attempts to preserve the pulmonary valve using both autologous and foreign tissue, results were often disappointing. The usage of the right atrial appendage as a bicuspid valve in the pulmonary position offers an alternative method for correcting TOF with a deformed, hypoplastic, or aplastic pulmonary valve. However, further follow-up is required to obtain more reliable data.

neopulmonary valve , right atrium appendage , right ventricular outflow tract , Tetralogy of Fallot

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Pediatric Cardiac Surgery Department, National Scientific Medical Center, Astana, Kazakhstan

Pediatric Cardiac Surgery Department

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