Complete Surgical Repair

This definitive procedure addresses all components of the congenital heart defect through a single operation. The repair involves two critical elements: closure of the ventricular septal defect (VSD) with a patch, and surgical widening of the narrowed pulmonary valve or right ventricular outflow tract. By establishing normal blood flow patterns, the procedure significantly improves systemic oxygenation.

Staged Repair

This strategic two-phase treatment protocol is employed for complex congenital heart defects requiring gradual correction. The process begins with an initial palliative Blalock-Taussig (BT) shunt to establish adequate pulmonary blood flow, followed by definitive complete repair once the patient achieves optimal growth and hemodynamic stability.

Transannular Patch Repair

This surgical technique addresses severe right ventricular outflow tract (RVOT) obstruction by placing an expansive patch across the pulmonary valve annulus. While effectively relieving stenosis, the procedure typically results in postoperative pulmonary valve regurgitation, which may require future intervention.

Pulmonary Valve Sparing Repair

This advanced surgical technique addresses right ventricular outflow tract (RVOT) obstruction while preserving the native pulmonary valve, minimizing long-term valve dysfunction. By combining precise valve reconstruction with outflow tract augmentation, surgeons maintain valve competence and reduce the likelihood of future reintervention.

Valve-Sparing Surgery with RVOT Reconstruction

This refined surgical approach combines pulmonary valve preservation with right ventricular outflow tract (RVOT) remodeling to optimize blood flow while maintaining native valve function. The procedure strategically addresses obstruction through targeted tissue modification rather than valve replacement, offering durable physiological correction.

Conduit-Based Repairs

This specialized surgical solution establishes a valved conduit between the right ventricle and pulmonary artery for complex anatomical repairs. The implanted pathway—typically incorporating bovine jugular vein, homograft, or synthetic materials—serves as a durable but non-permanent circulation route that may require future revision.