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Results of the use of a graft with a monocusp in radical correction of Fallot's tetrad
Authors:V P Podzolkov  N A Kiselev  L R Plotnikova  L M Zotova  L V Petrunina  I N Mitina  S V Kirakosian  V I Mironenko  L V Za?tsev  I A Iurlov
Abstract:The article deals with the results of complex study of the effect of pulmonary insufficiency on intracardiac hemodynamics and function of the heart in the immediate and late-term periods after radical correction of Fallot's tetralogy. Answers are also given to questions concerning the expediency of the use and functional adequacy of a xeno-pericardial monocusp in the closure mechanism of the pulmonary artery valve. The study showed that massive pulmonary regurgitation has a negative effect on the functional condition of the right ventricle in late-term postoperative periods. Convincing data were obtained which allow a graft with a monocusp of a bull's pericardium to be recommended for further clinical use to prevent insufficiency of the pulmonary artery valve after radical correction of Fallot's tetralogy.
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