Right ventricular outflow tract reconstruction/pulmonary valve replacement
Also known as: RVOT reconstruction, cardiac surgery, heart catheterization, valve replacement.
What is right ventricular outflow tract reconstruction/pulmonary 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: December 18, 2020 05:24 PM
The Heart Program at Nicklaus Children’s Hospital has reported that all 270 children who underwent congenital heart surgery at Nicklaus Children’s in 2018 survived. Program directors are elated to report that as of this posting, more than 380 consecutive patients have undergone cardiac surgical procedures at the hospital without a single death.
Lourdes Prieto, MD, Pediatric and Adult Congenital Cardiologist with Nicklaus Children's Hospital Heart Program, explains the different procedures for heart valve replacement. For more information visit:
Lourdes Prieto, MD, Pediatric and Adult Congenital Cardiologist with Nicklaus Children's Hospital Heart Program, explains what the PDA closure procedure is like.
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Pulmonary stenosis is usually a congenital heart defect, which means that babies are born with it.
Pulmonary Atresia (PA)
Pulmonary atresia is a birth defect of the heart where the valve that controls the flow of blood from the right side of the heart to the lungs does not form, preventing blood picking up oxygen.
Pulmonary Heart Valve Replacement with the SAPIEN™
The Edwards Lifesciences SAPIEN™ transcatheter heart valve replaces a leaky or narrow pulmonary valve. The implant itself is made from a portion of a cow’s vein, and has a wire frame for support.
Heart Valve Replacement Surgery
Heart valve surgery is used to repair or replace damaged or diseased heart valves. A common precursor to heart valve surgery is heart valve disease, which happens when a heart valve does not close completely, which can cause blood to flow backwards, limit blood flowing forward, cause chest pains, shortness of breath, fainting, or heart failure.