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Ann Thorac Surg 1983;36:468-475
© 1983 The Society of Thoracic Surgeons

Articles

Surgical Treatment of Absent Pulmonary Valve Syndrome in Infants: Relief of Bronchial Obstruction

G. Stellin, M.D., R.A. Jonas, M.B.B.S., F.R.A.C.S., T.H. Goh, M.D., F.R.A.C.P., W.J. Brawn, F.R.C.S., F.R.A.C.S., A.W. Venables, M.D., F.R.A.C.P., R.B.B. Mee, F.R.A.C.S.*

Departments of Cardiac Surgery and Cardiology, Royal Children's Hospital, Melbourne, Australia

Accepted for publication November 26, 1982.

* Address reprint requests to Dr. Mee, Director, Victorian Paediatric Cardiac Surgical Unit, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, Australia 3052

Congenital absence of the pulmonary valve is usually associated with a malalignment type of ventricular septal defect as well as right ventricular outflow obstruction and aneurysmal dilatation of the pulmonary arteries. Symptomatic infants primarily have severe tracheobronchial obstruction caused by aneurysmal dilatation of the proximal pulmonary arteries; pulmonic and systemic blood flow are usually balanced. Surgical intervention to relieve the obstruction by plicating the pulmonary artery and its branches under deep hypothermia and circulatory arrest, together with patch closure of the ventricular septal defect, is advocated.




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