Surgical Treatment of Tetralogy of Fallot with Unilateral Absence of a Pulmonary Artery

Williams, Gavin; Dungan, William T.; Campbell, Gilbert S.

doi:10.1016/s0003-4975(10)65259-9

Cited by 17 publications

(9 citation statements)

References 19 publications

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“…Technical aspects of the shunt are of major importance because even short complete cross-clamping of the single pulmonary may lead to a lethal outcome [11]. That is why some authors preferred using cardiopulmonary bypass to avoid technical difficulties and possible complications [12]. Another strategy is the anastomosis with the pulmonary trunk that is partially clamped during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Palliative surgical treatment of congenital heart defects associated with unilateral absence of the pulmonary artery

Bockeria

Подзолков

Makhachev

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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Palliative surgical treatment of CHDs associated with UAPA can be performed with a relatively low risk. Systemic-to-pulmonary artery shunt and transluminal balloon pulmonary valvuloplasty are methods of choice in patients with non-severe hypoplasia of the single pulmonary artery. The intravascular intervention is indicated more in patients with a prevailing valvular component of the pulmonary stenosis. Palliative reconstruction of the right ventricular outflow tract is a more favourable procedure for patients with a severe hypoplasia of the single pulmonary artery.

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Section: Discussionmentioning

confidence: 99%

Palliative surgical treatment of congenital heart defects associated with unilateral absence of the pulmonary artery

Bockeria

Подзолков

Makhachev

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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“…It is noteworthy that a majority of surgically treated cases of absent pulmonary artery in the literature (Maim et al 1966;Koyamada et al 1969;Williams et al 1972;Donahoo et al 1973;Yamashita et al 1974), except those recently reported by the Mayo group (Kinsley et al 1974), had high operative risk and sequential pulmonary hypertension and congestive heart failure as nearly universal findings when the affected pulmonary artery was not repaired.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Surgical Treatment of “Angiographically Absent Pulmonary Artery Syndrome”

Ishizawa

Horiuchi

Tadokoro

et al. 1978

Tohoku J. Exp. Med.

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“…Es ist bemerkenswert, daß über einen langen Zeitraum alle veröffentlichten Fälle eine Aplasie der LPA aufwiesen (2, 4, 5, 6, 13,14,16,19), mit Ausnahme eines Falles mit RPA-Aplasie bei Dextrokardie (12). Aus dieser Beobachtung wurde der Schluß gezogen, daß es eine rechtsseitige Pulmonalisastaplasie bei Fallot'scher Tetralogie nicht gebe (13,14).…”

Section: Diskussionunclassified

“…zur Korrektur mit oder ohne Rekonstruktion eines primär fehlangelegten, d.h. von der Aorta entspringenden, oder sekundär verschlossenen Pulmonalisastes. So schlagen Williams(19), Hatcher (Diskussion zu19), Billig (Diskussion zu 19) und hin (10) bei der Aplasie eine Shunt-Operation als definitive oder zumindest obligate palliative Maßnahme zur Förderung der Entwicklung eines hypoplastischen peripheren pulmonalen Gefäßsystems vor. Björk (2) und Daniehon (Diskussion zu 19) befürworten die Korrektur unter Verzicht auf eine Rekonstruktion eines fehlangelegten bzw.…”

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Zur chirurgischen Therapie der Fallot'schen Tetralogie bei Aplasie bzw. Obstruktion eines Pulmonalishauptastes*

Beyer¹,

Brunner²,

Klinner³

1976

Thorac cardiovasc Surg

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Among 843 patients with Tetralogy of Fallot, 10 showed unilateral absence of a pulmonary artery. In 7 cases the cause was congenital aplasia, whereas thrombosis of one of the pulmonary arteries following systemic-pulmonary anastomosis was the cause in the remaining 3 patients. According to the reports of other authors and to our own experiences, this rare malformation is treated best with palliative operations, the technique depending on the patient's age and on the individual anatomical condition. Only in very few cases with an acceptable pathologic anatomy there will be a reasonable chance for successful repair with reconstruction of the continuity from the right ventricle to the affected lung. However, if complete repair is performed, reconstruction of the absent pulmonary artery usually will be necessary for avoidance of pulmonary hypertension of the contralateral lung.

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Surgical Treatment of Tetralogy of Fallot with Unilateral Absence of a Pulmonary Artery

Cited by 17 publications

References 19 publications

Palliative surgical treatment of congenital heart defects associated with unilateral absence of the pulmonary artery

Palliative surgical treatment of congenital heart defects associated with unilateral absence of the pulmonary artery

Diagnosis and Surgical Treatment of “Angiographically Absent Pulmonary Artery Syndrome”

Zur chirurgischen Therapie der Fallot'schen Tetralogie bei Aplasie bzw. Obstruktion eines Pulmonalishauptastes*

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