A devised option of neonatal palliation for compromised tetralogy of fallot with absent pulmonary valve syndrome

Hiroo Kinami, Kiyozo Morita, Yoshihiro Ko, Gen Shinohara, Kazuhiro Hashimoto

Research output: Contribution to journalArticlepeer-review

Abstract

Neonatal primary repair of tetralogy of Fallot (TOF) with absent pulmonary valve (APV) syndrome is associated with high mortality rates. Our plan involves a staged repair that avoids one-stage intracardiac repair (ICR), with a first palliation that closes the main pulmonary orifice using an expanded polytetrafluoroethylene (ePTFE) patch, pulmonary arterioplication, and an adjustable Blalock-Taussig (BT) shunt. This strategy was used for a neonatal case with TOF/APV syndrome with hypoplastic left ventricle (LV). There was evidence of subsequent progressive increase in the LV size, and bronchial compression was relieved and an ICR was performed successfully at 9 months of age.

Original languageEnglish
Pages (from-to)274-277
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume25
Issue number5
DOIs
Publication statusPublished - 2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

Fingerprint

Dive into the research topics of 'A devised option of neonatal palliation for compromised tetralogy of fallot with absent pulmonary valve syndrome'. Together they form a unique fingerprint.

Cite this