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Tetralogy of Fallot with a Single Pulmonary Artery: Operative Repair
- Source :
- The Annals of Thoracic Surgery. 23:249-253
- Publication Year :
- 1977
- Publisher :
- Elsevier BV, 1977.
-
Abstract
- Surgical repair was performed on 8 patients with tetralogy of Fallot and congenital or acquired absence of the left pulmonary artery. Prior palliative systemic-pulmonary artery shunts had been performed in the 5 patients with acquired absence of the pulmonary artery, and in none was repair of the damaged pulmonary artery possible. A valve-containing conduit (Hancock) was used in each patient to prevent pulmonary valvular regurgitation during the early postoperative period. All patients survived operation and have exhibited marked symptomatic and hemodynamic improvement. This contrasts with the poor results of corrective operation previously reported in patients in this diagnostic category. We believe that the present improved results are due in large part to the valved conduit, and we therefore recommend its use during repair in children or adults with tetralogy and a single pulmonary artery.
- Subjects :
- Pulmonary and Respiratory Medicine
Cardiac Catheterization
medicine.medical_specialty
medicine.medical_treatment
Pulmonary Artery
medicine.artery
Internal medicine
medicine
Humans
Tetralogy
Tetralogy of Fallot
Cardiac catheterization
Surgical repair
business.industry
Infant
Pulmonary Valvular Regurgitation
Left pulmonary artery
medicine.disease
Radiography
medicine.anatomical_structure
Child, Preschool
Pulmonary artery
Cardiology
Surgery
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Artery
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....12484265473d18f98a7e915ffc297225