What is right ventricular outflow tract reconstruction/pulmonary valve replacement?

Also known as: RVOT reconstruction, cardiac surgery, heart catheterization, valve replacement.

The right ventricular outflow tract (RVOT) is that part of the heart that carries blood out of the right ventricle to the lungs. Problems with the RVOT (like pulmonary atresia and pulmonary valve stenosis) are common among children with congenital heart defects, and many corrective surgeries for congenital heart defects, and dilatation of the RVOT can cause pulmonary artery valve insufficiency. RVOT reconstruction is a surgical repair of the RVOT. Frequently, a pulmonary valve will also need to be replaced as part of the reconstruction of the heart.


What happens during the procedure?

Both problems can often be treated with the use of heart catheterization (these are long, thin tubes that are inserted into the problem area in order to make the repairs) or open heart surgery.


Is any special preparation needed?

Depending on the procedure undertaken, your child will need to avoid food or drink, as well as certain medications for a period of time before the procedure and mild sedation or general anesthesia may be administered.


What are the risk factors?

Risks include bleeding, infection, or heart problems such as rupture, rapid heart rate or perforation of an artery.


Right Ventricular Outflow Tract Reconstruction/Pulmonary Valve Replacement at Nicklaus Children’s Hospital:

Right ventricular outflow tract reconstruction/pulmonary valve replacement is performed by Nicklaus Children’s Hospital’s team of Nationally rated medical professionals using the most advanced techniques available.


Reviewed by: Jack Wolfsdorf, MD, FAAP

This page was last updated on: 1/29/2019 3:21:13 PM

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