Redo cardiac surgery is often needed for right ventricular outflow tract complications after tetralogy of Fallot repair. Common approaches include redo sternotomy or anterior thoracotomy. We report a case of pulmonary valve replacement performed via vertical left axillary thoracotomy, which effectively minimises cardiac injury risk during reentry and offers a safe, cosmetic alternative to conventional thoracotomy approaches.
Chigurupati et al. (Wed,) studied this question.