Technique of Valve-Sparing Repair With Skeletonization of the Pulmonary Annulus for Tetralogy of Fallot

Pulmonary valve dysfunction after tetralogy of Fallot (TOF) repair increases morbidity and mortality in the long term. Several pulmonary valve‐sparing techniques have been introduced to prevent such adverse sequelae. In this article we describe our valve-sparing technique for TOF repair that primarily consists of skeletonization of the anterior part of the pulmonary annulus and gentle dilation to preserve the pulmonary valve and annulus function. Pulmonary valve dysfunction after tetralogy of Fallot (TOF) repair increases morbidity and mortality in the long term. Several pulmonary valve‐sparing techniques have been introduced to prevent such adverse sequelae. In this article we describe our valve-sparing technique for TOF repair that primarily consists of skeletonization of the anterior part of the pulmonary annulus and gentle dilation to preserve the pulmonary valve and annulus function.