Surgical Flap Incision/Plasty

Surgical pulmonary valve incision/valvuloplasty is often used for anatomical types where ballooning is not applicable or has limited effect. Usually, under general anesthesia, a median or minimally invasive incision is made, and cardiopulmonary bypass is performed if necessary. Under direct vision, adhesions at the commissures are separated, the valve orifice is incised, or the annulus/right ventricular outflow tract is enlarged with a patch, and combined lesions are treated. Intraoperative imaging assesses residual pressure gradient and regurgitation before hemostasis and chest closure. Postoperative observation of circulation and respiration is performed in the intensive care unit. The goal is to relieve obstruction and improve right ventricular load. The above is general health information and not medical advice; specific information should be based on specialist evaluation and hospital protocols.