Benefits of synthetic monocusp application in radical correction of Tetralogy of Fallot: early postoperative results.


  • Varvara NAGHITSA Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”
  • Eduard CHEPTANARU Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”
  • Anatol CIUBOTARU Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”
  • Vasile CORCEA SCR " T. Mosneaga”
  • Iurie GUZGAN SCR " T. Mosneaga”



Tetralogy of Fallot, radical correction, sintetic monocusps, postoperative results


Tetralogy of Fallot (TF) has a worldwide prevalence of approximately 1 in 3000 live newborns, thus representing the most common cyanogenic cardiac malformation. The type of radical correction approached depends on the severity of right ventricular outflow tract (RVOT) stenosis, which is assessed depending on the Z-score of the pulmonary artery valve annulus (PAV). TF with a Z score < -3, requires PAV widening plasty with transannular application of the autologous pericardial patch. Pulmonary valve regurgitation is the most frequent and severe complication of this type of radical correction, especially in the early postoperative period. The use of a monocusp at the level of the pulmonary artery valve could reduce this phenomenon.

Author Biographies

Varvara NAGHITSA, Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”

third year resident physician, scientific researcher; Cardiovascular Surgery Clinic

Eduard CHEPTANARU, Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”

assistant professor; Cardiovascular Surgery Clinic

Anatol CIUBOTARU, Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”

доктор. хаб. шт. мед, проф. univ.; Клиника сердечно-сосудистой хирургии

Vasile CORCEA, SCR " T. Mosneaga”

conf. dr., head of research laboratory; MCC surgery Scientific Laboratory

Iurie GUZGAN, SCR " T. Mosneaga”

conf. dr., coordinating scientific researcher; MCC surgery Scientific Laboratory


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Research Article