Higher pulmonary vein index on computed angiography and optimum surgical resection ensures smooth postoperative recovery in Fallot's tetralogy: Special emphasis on indices of evaluation and Monocusp preparation

Bhende, Vishal V; Sharma, Tanishq S; Mehta, Deepakkumar V.; Subramaniam, Krishnan Ganapathy; Kumar, Amit; Thacker, Jigar P; Patel, Viral; Panesar, Gurpreet; Soni, Kunal; Dhami, Kartik B; Majmudar, Hardil P; Patel, Nirja; Pathan, Sohilkhan R

doi:10.1002/ccr3.6100

Cited by 1 publication

(2 citation statements)

References 25 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In pediatric cardiac surgery, especially with patients of TOF, understanding the pulmonary arterial anatomy is crucial for making decisions [ 9 ]. Brock originally proposed that a rise in blood flow through the repair may stimulate substantial thickening around the pulmonary artery and root.…”

Section: Discussionmentioning

confidence: 99%

“…Safe and satisfactory performance of the procedure requires the use of cardiopulmonary bypass, though a closed procedure should be possible with the use of cutting balloons Adequate tailoring of the division and resection can be difficult Pulmonary over-flooding is a possibility, in which it should be possible to go on CPB again and close the VSD In pediatric cardiac surgery, especially with patients of TOF, understanding the pulmonary arterial anatomy is crucial for making decisions [9]. Brock originally proposed that a rise in blood flow through the repair may stimulate substantial thickening around the pulmonary artery and root.…”

Section: S Nomentioning

confidence: 99%

See 1 more Smart Citation

Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases

Bhende¹,

Sharma²,

Subramaniam³

et al. 2023

Cureus

Self Cite

View full text Add to dashboard Cite

One-stage total correction is known to be anatomically unsuitable for correcting tetralogy of fallot (TOF) in a certain proportion of children. Surgeons are thus faced with dilemmas regarding which preliminary operation for the anomaly to do first. Brock's primary postulation suggests that pulmonary trunk and annulus enlargement leading to the correction of the outflow obstruction will favor the subsequent total correction. In line with this, the current article presents two patients who were 6 months and 5 years old. The first patient underwent primary Brock's operation while the second patient had a blocked modified Blalock-Taussig's shunt (MBTS) done off-pump. Following the discontinuation of anti-platelet medications, the MBTS blocked and the patient was subsequently considered for secondary Brock’s operation. The outcome of both procedures involved the patients’ discharge with uneventful hospital stays and regular follow-ups at specified intervals. Thus, Brock's operation is an excellent preliminary palliative procedure for one-stage total correction of TOF. There is a need to revive 'Brock's procedure' for patients with TOF and poor pulmonary artery anatomy as the procedure of choice. The first direct intra-cardiac operation aimed at directly addressing the pathological anatomy on its Diamond Jubilee Year.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: S Nomentioning

confidence: 99%

Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases

Bhende¹,

Sharma²,

Subramaniam³

et al. 2023

Cureus

Self Cite

View full text Add to dashboard Cite

show abstract

Higher pulmonary vein index on computed angiography and optimum surgical resection ensures smooth postoperative recovery in Fallot's tetralogy: Special emphasis on indices of evaluation and Monocusp preparation

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 1 publication

References 25 publications

Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases

Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases

Contact Info

Product

Resources

About