Repair of tetralogy of Fallot with obstruction of right pulmonary artery; report of a case

Patients with tetralogy of Fallot showing unilateral obstruction of a pulmonary artery, especially the right pulmonary artery, are a high-risk group for pulmonary hypertension after repair. This case of tetralogy of Fallot with the obstruction of the right pulmonary artery received a Blalock-Taussig...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 58; no. 7; p. 577
Main Authors Sugiura, Junya, Akita, T, Sakurai, H, Kato, N, Hasegawa, H, Sawaki, S
Format Journal Article
LanguageJapanese
Published Japan 01.07.2005
Subjects
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - surgery
Cardiac Surgical Procedures - methods
Child, Preschool
Female
Humans
Pulmonary Artery - pathology
Tetralogy of Fallot - complications
Tetralogy of Fallot - surgery
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Summary:Patients with tetralogy of Fallot showing unilateral obstruction of a pulmonary artery, especially the right pulmonary artery, are a high-risk group for pulmonary hypertension after repair. This case of tetralogy of Fallot with the obstruction of the right pulmonary artery received a Blalock-Taussig shunt at 7 months old, and the occluded right pulmonary artery caused empyema after surgery. At 2 years old, a cardiac catheter study showed a pulmonary artery index of 193.6 mm2/m2, so we undertook intracardiac repair. After the repair, she showed a relativery favorable clinical course. Systolic pulmonary artery pressure and right ventricular pressure were about 30 and 50 mmHg, respectively. We considered that tetralogy of Fallot with obstruction of right pulmonary artery could be repaired, as long as the pulmonary artery index was within the limits of indication and the left ventricle was well-developed.
ISSN:0021-5252