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Current surgical technique to repair Fallot's tetralogy with absent pulmonary valve syndrome

Snir, E; de Leval, MR; Elliott, MJ; Stark, J; (1991) Current surgical technique to repair Fallot's tetralogy with absent pulmonary valve syndrome. Ann Thorac Surg , 51 pp. 979-982.

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Abstract

The experience with surgical repair of Fallot's tetralogy and absent pulmonary valve syndrome is reviewed. Twenty-two patients aged 1 day to 8 years were treated between 1982 and 1989 using one surgical technique. This consisted of resection of the main pulmonary artery and large parts of the anterior wall of the right and left pulmonary artery. The ventricular septal defect was closed with a patch, and an aortic or pulmonary homograft (size, 8 to 24 mm) was interposed between the right ventricle and the pulmonary artery. Two of the 8 infants operated on died; there was one late death. All 14 older children survived the operation. All survivors are well up to 7 years follow-up (mean follow-up, 3.6 years). We recommend early treatment of infants; older children can be treated electively. The technique used in our series gives excellent results.

Type: Article
Title: Current surgical technique to repair Fallot's tetralogy with absent pulmonary valve syndrome
Additional information: Snir, E de Leval, M R Elliott, M J Stark, J United states The Annals of thoracic surgery Ann Thorac Surg. 1991 Jun;51(6):979-82. The experience with surgical repair of Fallot's tetralogy and absent pulmonary valve syndrome is reviewed. Twenty-two patients aged 1 day to 8 years were treated between 1982 and 1989 using one surgical technique. This consisted of resection of the main pulmonary artery and large parts of the anterior wall of the right and left pulmonary artery. The ventricular septal defect was closed with a patch, and an aortic or pulmonary homograft (size, 8 to 24 mm) was interposed between the right ventricle and the pulmonary artery. Two of the 8 infants operated on died; there was one late death. All 14 older children survived the operation. All survivors are well up to 7 years follow-up (mean follow-up, 3.6 years). We recommend early treatment of infants; older children can be treated electively. The technique used in our series gives excellent results.
Keywords: Child Child, Preschool Follow-Up Studies Humans Infant Infant, Newborn Methods Pulmonary Artery/radiography/surgery Pulmonary Valve/*pathology Radiography, Thoracic Syndrome Tetralogy of Fallot/pathology/radiography/*surgery
UCL classification: UCL > School of Life and Medical Sciences
UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Child Health
URI: http://discovery.ucl.ac.uk/id/eprint/1392701
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