Tetralogy of Fallot with absent pulmonary valve: a successful case by total corrective surgery in 25 days old infant
Fukui, K.; Orita, H.; Fukasawa, M.; Uchino, H.; Washio, M.; Akiba, T.
Nihon Kyobu Geka Gakkai 42(12): 2267-2271
1994
ISSN/ISBN: 0369-4739 PMID: 7861068 Document Number: 432082
A 25 days old neonate of tetralogy of Fallot with absent pulmonary valve underwent total corrective surgery which consisted of VSD patch closure, resection of anterior wall of both pulmonary arteries and right ventricular outflow tract reconstruction using a monocuspid equine pericardial patch. Postoperatively, the right pulmonary artery diameter decreased from 17.8 mm (307%N) to 7.5 mm (129%N) and the left pulmonary artery diameter from 16.9 mm (338%N) to 8.3 mm (166%N). The patient was weaned from the ventilator 2 days after operation, whose post-operative course was uneventful. Total corrective surgery may provide a great success to symptomatic patients during the neonatal period.