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Ann Thorac Surg 1977;23:249-253
© 1977 The Society of Thoracic Surgeons

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Articles

Tetralogy of Fallot with a Single Pulmonary Artery: Operative Repair

Departments of Cardiovascular Surgery and Cardiology, The Children's Hospital Medical Center and Harvard Medical School, Boston, MA.

Accepted for publication August 9, 1976.

^* Address reprint requests to Dr. Castaneda, Department of Cardiovascular Surgery, Children's Hospital Medical Center, 300 Longwood Ave, Boston, MA 02115.

Surgical repair was performed on 8 patients with tetralogy of Fallot and congenital or acquired absence of the left pulmonary artery. Prior palliative systemic-pulmonary artery shunts had been performed in the 5 patients with acquired absence of the pulmonary artery, and in none was repair of the damaged pulmonary artery possible. A valve-containing conduit (Hancock) was used in each patient to prevent pulmonary valvular regurgitation during the early postoperative period. All patients survived operation and have exhibited marked symptomatic and hemodynamic improvement. This contrasts with the poor results of corrective operation previously reported in patients in this diagnostic category. We believe that the present improved results are due in large part to the valved conduit, and we therefore recommend its use during repair in children or adults with tetralogy and a single pulmonary artery.

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