Reconstruction of the Pulmonary Trunk With A Homograft In Patients With Previous Tetralogy of Fallot Repair: A Case Report

  • Roman N. Komarov University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department
  • Maxim I. Tkachev University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department
  • Georgi A. Varlamov University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department
  • Ilyas D. Gailaev University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department
  • Muhanad Al Atrach University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department
Keywords: Tetralogy of Fallot, pulmonary homograft, bioprosthesis, pulmonary valve replacement, right ventricular outflow tract reconstruction, cryopreserved homograft

Abstract

Background: Tetralogy of Fallot (TOF) is a common congenital heart defect often requiring pulmonary valve replacement due to complications like pulmonary regurgitation. We present a case of a TOF patient with prior valve replacement admitted for prosthetic valve dysfunction.

Case presentation: At Sechenov University, the patient underwent successful reconstruction of the right ventricular outflow tract and pulmonary trunk using cryopreserved homografts. Postoperative recovery was uneventful, with discharge on day 14.

Conclusion: Pulmonary homografts provide favorable outcomes and reduced reinterventions, though degeneration remains a challenge. Future research should focus on factors affecting implant durability, such as age and size, to optimize long-term outcomes.

Author Biographies

Roman N. Komarov, University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department

Head Of The Department Of Cardiovascular Surgery

Maxim I. Tkachev, University Clinical Hospital N°1 of SECHENOV MEDICAL UNIVERSITY- Cardiovascular Surgery department

Cardiovascular surgeon

Published
2025-03-12
How to Cite
Komarov, R. N., Tkachev, M. I., Varlamov, G. A., Gailaev, I. D., & Al Atrach, M. (2025). Reconstruction of the Pulmonary Trunk With A Homograft In Patients With Previous Tetralogy of Fallot Repair: A Case Report. The Egyptian Cardiothoracic Surgeon, 1(1). Retrieved from https://journals.escts.net/ects/article/view/335
Issue
In press
Section
Adult cardiac