Document Detail

Tetralogy of Fallot with absent pulmonary valve: diagnostic features and management.
MedLine Citation:
PMID:  1823893     Owner:  NLM     Status:  MEDLINE    
Tetralogy of Fallot with absent pulmonary valve is a rare congenital malformation. The diagnostic features and surgical management in ten patients with this malformation have been described. There were five male and five female patients, (age 3 1/2 to 26 years). The common symptoms were recurrent respiratory tract infection and cyanosis. Examination revealed hyperdynamic precordial pulsations, single second heart sound and an early diastolic murmur along the left sternal border in all. Electrocardiograms were indistinguishable from typical tetralogy of Fallot. Chest X-ray revealed cardiomegaly, prominent pulmonary conus and dilated pulmonary arteries in all cases, lung vascularity being variable. Echocardiographic findings were diagnostic and are discussed in detail. Cardiac catheterization and angiocardiography revealed annular stenosis in all, along with aneurysmal dilatation of main and branch pulmonary arteries. Eight patients underwent intracardiac repair. There was no perioperative mortality. All patients have been followed up for 350 months (mean 29 months).
K K Saxena; G Joseph; C S Thomas; S John; S Krishnaswami
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  43     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1991 Nov-Dec
Date Detail:
Created Date:  1992-10-08     Completed Date:  1992-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  449-53     Citation Subset:  IM    
Department of Cardiology & Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore.
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MeSH Terms
Child, Preschool
Pulmonary Valve / abnormalities*,  surgery,  ultrasonography
Tetralogy of Fallot / complications*,  diagnosis,  surgery

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