Beating heart replacement of the pulmonary valve in a patient with surgically corrected Tetralogy of Fallot.

We describe the case of a young man who underwent anatomical correction of Tetralogy of Fallot in childhood. The patient developed severe pulmonary valve regurgitation, moderate tricuspid regurgitation and dilation of the right heart chambers. He underwent a redo sternotomy, replacement of the pulmonary valve and tricuspid annuloplasty with beating heart under extracorporeal circulation. Although this technique is more technically demanding, it avoids the use of cardioplegia and the complications of myocardial ischemia and reperfusion.