Repair of incompetent truncal valves: Early and mid-term results

Gianluigi Perri, Sergio Filippelli, Angelo Polito, Duccio Di Carlo, Sonia B. Albanese, Adriano Carotti

Research output: Contribution to journalArticlepeer-review


OBJECTIVES: To analyse the factors associated with in-hospital mortality and mid-term significant neoaortic valve regurgitation (AR) after truncal valve (TV) repair. METHODS: Eleven children underwent TV repair at our institution from July 1999 to March 2012. All children presented significant preoperative TV regurgitation. Valve anatomy was quadricuspid in 7 (64%) patients and tricuspid in 4 (36%). The median age and weight at surgery were 29.6 (range 0.3-173.2) months and 12 (range 2.2-49) kg, respectively. Repair included bicuspidalization through the approximation of two leaflets associated with triangular resection of the opposite one (n = 2, 18%), or either bicuspidalization or tricuspidalization of the TV through excision of one leaflet and related sinus of Valsalva (n = 9, 82%). In 3 patients, repair was associated with coronary detachment before cusp removal, followed by coronary reimplantation. RESULTS: In-hospital death occurred in 2 (18%) patients. Factors associated with hospital mortality were age

Original languageEnglish
Pages (from-to)808-813
Number of pages6
JournalInteractive Cardiovascular and Thoracic Surgery
Issue number6
Publication statusPublished - 2013


  • Congenital heart disease
  • Truncus arteriosus
  • Valve disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Surgery
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)


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