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Systemic-pulmonary shunt facilitates the growth of the pulmonary valve annulus in patients with tetralogy of Fallot

Submitted by: Mark FergusonBronze Contributor

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Author(s): Byung Kwon Chong, Jae Suk Baek, Yu-Mi Im Im, Chun Soo Park, Jeong-Jun Park, and Tae-Jin Yun

This retrospective study evaluated whether a systemic-PA shunt in infants with TOF facilitated enlargement of the pulmonary valve annulus (PVA).  Placement of a shunt was the only factor associated with PVA growth.  This knowledge may affect how repair is staged with an eye towards avoiding a transannular patch.

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