In the article it is presented experience of right ventricular outflow tract (RVOT) reconstruction with insertion of the monocusp valve at radical correction (RC) of complicated congenital heart diseases in 16 patients at the age from 1 till 14 years in the department of cardiovascular surgery of the Odessa regional children hospital since February 2003 till December 2008. Among patients there were 9 children with Fallot tetralogy (FT), 3 — with double outlet right ventricle, 2 — with pulmonary atresia with ventricular septal defect type A, 1 — with severe pulmonary stenoses, 1 with severe pulmonary insufficiency (PI) after RC FT. RVOT reconstruction was made with implantation of autologous pericardial monocusp method Loma Linda MC CA. Titanic surgical clips were set at the free edge of the monocusp to improve its obturative function. The analysis of RC remote results has shown high efficiency of the specified technology for preventive maintenance of the pulmonary artery valve insufficiency.
