Stenting and Reimplanting Disconnected Pulmonary Artery in Tetralogy of Fallot

Tetralogy of Fallot with absent pulmonary valve syndrome (TOF/APV) is a rare congenital malformation. Although pulmonary artery (PA) anomalies have been observed in TOF, its association with disconnected PA is extremely rare. We report successful stenting of the disconnected left PA in a 3-year-old...

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Published inThe Annals of thoracic surgery Vol. 104; no. 1; pp. e75 - e77
Main Authors Kurup, Harikrishnan K.N., MBBS, MD, Baliulis, Giedrius, MD, FRCS, Haw, Marcus P., MBBS, FRCS, Vettukattil, Joseph J., MD, FRCPCH
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.07.2017
Subjects
Abnormalities, Multiple
Angiography
Aortography
Cardiac Catheterization
Cardiac Surgical Procedures - methods
Cardiothoracic Surgery
Child, Preschool
Computed Tomography Angiography
Humans
Male
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Pulmonary Valve - diagnostic imaging
Pulmonary Valve - surgery
Replantation - methods
Stents
Surgery
Tetralogy of Fallot - diagnosis
Tetralogy of Fallot - surgery
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Summary:Tetralogy of Fallot with absent pulmonary valve syndrome (TOF/APV) is a rare congenital malformation. Although pulmonary artery (PA) anomalies have been observed in TOF, its association with disconnected PA is extremely rare. We report successful stenting of the disconnected left PA in a 3-year-old boy with TOF/APV followed by surgical reimplantation. The significance of this transcatheter intervention for guidance during surgery and the importance of visualizing a ductal stump on angiography as an indicator of disconnected PA are discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2016.06.046