Document Detail


A novel approach to the repair of tetralogy of Fallot with absent pulmonary valve and the reduction of airway compression by the pulmonary artery.
MedLine Citation:
PMID:  19349015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Controversy persists regarding the management of patients suffering from tetralogy of Fallot with absent pulmonary valve syndrome. Airway obstruction caused by the dilated pulmonary arteries is the determining factor in the mortality of symptomatic newborns and infants. A number of surgical techniques for the reduction of bronchial obstruction have been proposed, producing variable results. All strategies have focused on plication and reduction of the anterior or posterior wall of the normally positioned pulmonary arteries, with or without pulmonary valve replacement. An alternative approach is to bring the pulmonary arteries anterior to the aorta and away from the trachea and bronchial tree. This technique has the potential to reduce or eliminate bronchial compression by the central pulmonary arteries. Failure of the treatment could be expected in symptomatic patients, where the pathology of the airways extends beyond the proximal pulmonary arteries.
Authors:
Viktor Hraska; Joachim Photiadis; Ehrenfried Schindler; Nicodeme Sinzobahamvya; Christopher Fink; Christopher Haun; Martin Schneider; Hedwig-Christine Blaschczok; Bulos Asfour
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  -     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-07     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-62     Citation Subset:  IM    
Affiliation:
German Pediatric Heart Center, Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany. v.hraska@asklepios.com
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / methods*
Heart Atria / surgery
Humans
Infant
Infant, Newborn
Pulmonary Artery / abnormalities*,  surgery*
Pulmonary Atresia / complications*,  surgery*
Pulmonary Valve / abnormalities*
Tetralogy of Fallot / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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