| Balloon dilation of the right ventricular outflow tract in tetralogy of Fallot: a palliative procedure. | |
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MedLine Citation:
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PMID: 10323533 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fifteen patients requiring palliation for tetralogy of Fallot were treated by balloon dilation because of hypercyanotic spells. The mean age at dilation was 1.9 +/- 0.7 years (range 0.5-3), and the mean weight 9.8 +/- 2.1 kg (range 6.0-13.5). Dilation of the outflow tract was combined with dilation of the left and/or right pulmonary arteries in 5 patients. Successful dilation was achieved in 12 patients (80%), but failed in 3 patients with hypoplastic pulmonary arteries. In one patient, the stenosis of the right pulmonary artery could not be dilated because of a very sharp angle at the site of the stenosis. Two of the 3 patients in whom the procedure failed died of severe cyanotic spells within 24 hours of the unsuccessful procedure. No major complications occurred during or after the procedure in the cases undergoing successful dilation. The arterial oxygen saturation increased significantly, from 71 +/- 5.7% to 89 +/- 3.9%, immediately after the procedure (p < 0.005). During a period of follow up of 6 +/- 3.7 months (range 1-13), the procedure was repeated on 3 occasions, and successfully accomplished in 2 of these. In conclusion, balloon dilation is a satisfactory palliative procedure for tetralogy of Fallot in those units in which total correction is not performed under 2 to 3 years of age. |
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Authors:
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S M Arab; A F Kholeif; S R Zaher; A M Abdel-Mohsen; A S Kassem; S A Qureshi |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Cardiology in the young Volume: 9 ISSN: 1047-9511 ISO Abbreviation: Cardiol Young Publication Date: 1999 Jan |
Date Detail:
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Created Date: 1999-07-01 Completed Date: 1999-07-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9200019 Medline TA: Cardiol Young Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 11-6 Citation Subset: IM |
Affiliation:
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Cardiology Department, Alexandria University, Main University Hospital, Egypt. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Dilatation
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methods* Child, Preschool Cyanosis / diagnosis, physiopathology, surgery Female Follow-Up Studies Humans Infant Male Oxygen Consumption / physiology Palliative Care / methods* Survival Rate Tetralogy of Fallot / diagnosis, therapy* Treatment Outcome Ventricular Dysfunction, Right / etiology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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