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

doi:10.5761/atcs.cr.17-00085

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 journal › Article › peer-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 language	English
Pages (from-to)	274-277
Number of pages	4
Journal	Annals of Thoracic and Cardiovascular Surgery
Volume	25
Issue number	5
DOIs	https://doi.org/10.5761/atcs.cr.17-00085
Publication status	Published - 2019
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine
Gastroenterology

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10.5761/atcs.cr.17-00085

Cite this

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title = "A devised option of neonatal palliation for compromised tetralogy of fallot with absent pulmonary valve syndrome",

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.",

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AU - Kinami, Hiroo

AU - Morita, Kiyozo

AU - Ko, Yoshihiro

AU - Shinohara, Gen

AU - Hashimoto, Kazuhiro

PY - 2019

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AB - 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.

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

Abstract

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