Pulmonary Valve Reconstruction Using Autologous Pericardium: A Promising Technique to Consider

Ríos-Ortega J.C.; Sisniegas-Razón J.; Yépez-Calderón C.; Dávila-Durand M.; Robles-Velarde V.; Talledo-Paredes L.; Aranda-Pretell N. · Annals of Thoracic Surgery (2023) · DOI: 10.1016/j.athoracsur.2022.03.048

Resumen

Pulmonary valve (PV) surgical treatment is uncommon in adults; however, when it is indicated, replacement with a prosthesis is suggested. Nevertheless, mechanical prostheses have an inherent risk of complications derived from anticoagulation and thrombosis, and biologic prostheses do not have adequate long-term durability. In this context, PV reconstruction surgery emerges as an alternative, avoiding anticoagulation and promising good durability. We present our experience with this procedure in 3 patients with severe PV insufficiency and 1 patient with severe PV stenosis.