Use of cutting balloon for palliative treatment in tetralogy of Fallot

Carlson, Karina M.; Neish, Steven R.; Justino, Henri; Leonard, Glenn T.; Mullins, Charles E.; Grifka, Ronald G.

doi:10.1002/ccd.20319

Cited by 11 publications

(4 citation statements)

References 8 publications

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“…90 Cutting balloons have been successful in opening both the RV infundibulum and a stenotic PV. 91 Recently, repair of postoperative pulmonary homograft or conduit stenosis and/or regurgitation has been tackled with the use of a percutaneous PV with good initial success, 92,93 although the dilation of the RV outflow due to the surgical patch presents a problem for seating of a percutaneous valve.…”

Section: Late Pv Replacementmentioning

confidence: 99%

Adult Congenital Heart Disease

Bashore

2007

Circulation

135

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It has variably been estimated that between 800 000 and 1 million patients with congenital heart disease are now adults and that by 2010 more patients older than 16 years will undergo surgery for congenital heart disease than those younger than 16 years. 1 This review will focus on the clinical aspects of identifying and caring for the portion of the unique population that have right ventricular (RV) outflow tract lesions. Clinical Morphology of the RV Outflow TractThe left ventricle (LV) and RV both have inlet, apical, and outlet portions, although they differ considerably. 2 The inlet of the RV includes the tricuspid valve, and it is separated from the pulmonary valve (PV) by the crista supraventricularis. This structure results in the PV being raised upward. The apical portion of the RV has coarse trabeculations. As shown in Figure 1, the septum is home to a large septomarginal (septal) trabeculation that divides into the anterior and posterior limbs in the outflow tract. A series of septoparietal trabeculations arise along the free wall. The crista supraventricularis inserts between these limbs and is made up of 3 components: the muscular outlet septum, the ventriculoinfundibular fold, and the inner curvature of the RV. 3 The small part that separates the RV and LV cavities is the outlet or conal septum. A loop including the septal trabeculation, the moderator band, septoparietal trabeculations, and the outlet septum can be conceptualized as circling the RV outflow tract. The PV is supported by the circular muscular infundibulum rising outside the RV proper. Abnormalities involving the RV outflow tract involve malpositioning of 1 or more of these structures.

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Section: Late Pv Replacementmentioning

confidence: 99%

Adult Congenital Heart Disease

Bashore

2007

Circulation

135

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“…In fact, since the first reports by Schneider et al [6], only a few other reports have been published in the literature. CBA was used by Mertens et al to dilate resistant stenoses of major systemic‐to‐pulmonary collateral arteries [3], by Schneider et al to create an atrial septal defect [11], by Carlson et al to dilate the infundibulum and pulmonary valve in patients with unoperated tetralogy of Fallot [12], and by Rhodes et al [2], Bergersen et al [4] and Sugiyama et al [5] to treat resistant pulmonary artery stenoses. The therapeutic approach to stenoses of small branches of the pulmonary arteries is one of the biggest challenges in patients with congenital heart disorders.…”

Section: Discussionmentioning

confidence: 99%

Expanding indications for the treatment of pulmonary artery stenosis in children by using cutting balloon angioplasty

Butera

Antonio

Chessa

et al. 2006

Cathet Cardio Intervent

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“…Others repeated these results, for example, Lin et al, 16 but the advent of complete correction with open-heart surgery made this operation obsolete. Now that it is possible to perform infundibulectomy with catheters with cutting blades, 17 it might be worth re-considering using a non-surgical infundibulectomy.…”

Section: Infundibulectomymentioning

confidence: 99%

At what age should tetralogy of Fallot be corrected?

Hoffman

2017

Cardiol Young

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Tetralogy of Fallot can be corrected with very low mortality at any age, even in neonates, but this does not necessarily mean that it should be corrected in the neonatal period. Although there are many advantages to early correction, a high proportion of these neonates have residual stenosis or pulmonary regurgitation that impairs ventricular function and may require further surgery or implantation of a pulmonary valve. Before we had the ability to correct this anomaly with low mortality in small children, a variety of palliative procedures had to be performed. Today, with better understanding of the anatomy of tetralogy of Fallot, we should consider what forms of palliation will increase growth of the right ventricular outflow tract in order to reduce the complications of very early surgery.

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Use of cutting balloon for palliative treatment in tetralogy of Fallot

Cited by 11 publications

References 8 publications

Adult Congenital Heart Disease

Adult Congenital Heart Disease

Expanding indications for the treatment of pulmonary artery stenosis in children by using cutting balloon angioplasty

At what age should tetralogy of Fallot be corrected?

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