Intermediate results with correction of tetralogy of Fallot with absent pulmonary valve using a new approach1

Abstract

The new technique described here has a potential to reduce or eliminate bronchial compression by pulmonary artery. Translocation of pulmonary artery anterior to the aorta takes the dilated pulmonary artery away from the trachea and bronchial tree. This approach was found to be technically feasible and can be useful especially in symptomatic newborns and infants.

Absent pulmonary valve syndrome.☆Surgical and clinical outcome with long-term follow-up

“…Other groups [15,16,19,20] have previously suggested that pulmonary valve competence is important to achieve early survival. Our patients receiving homograft insertions during 1994-1995 reflected a change in policy driven by the results from Great Ormond Street Hospital, London [15,16].…”

An uncommon cause of a vascular mass in the left lung in neonate: A case report with a brief review of literature

“…Translocation of the dilated pulmonary artery anterior to the aorta and away from the bronchial tree during primary repair of Tetralogy of Fallot with absent pulmonary valve syndrome to relieve the symptoms in newborns and infants has been described with successful outcome. 7 Stenting to the right and left main bronchi with the balloon expandable metallic stents is another new experimental therapy that has been successfully used in neonates with respiratory failure despite satisfactory intracardiac repair. 8,9 This case is being reported to highlight the occurrence of this relatively rare congenital anamoly, and the importance to consider the dilated pulmonary trunk secondary to absent pulmonary valve syndrome in the differential diagnosis of an unexplained parahilar vascular mass in a neonate.…”

Two cases of tetralogy of Fallot with absent pulmonary valve repaired by modified Kreutzer’s technique

“…[2][3][4] Translocation of the right pulmonary artery anterior to the ascending aorta with a reduction pulmonary reduction arterioplasty reduces the compression on the tracheobronchial tree by the dilated pulmonary arteries. This aggressive technique could be more effi cacious in tracheobronchial decompression than the Kreutzer's original or our modifi cation.…”