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Ann Thorac Surg 1986;41:669-671
© 1986 The Society of Thoracic Surgeons

Articles

Absent Pulmonary Valve Syndrome: A Two-Stage Operation

Myung K. Park, M.D.*, J. Kent Trinkle, M.D.

Department of Pediatrics and Surgery, the University of Texas Health Science Center, San Antonio, TX

Accepted for publication September 10, 1985.

* Address reprint requests to Dr. Park, Department of Pediatrics, The University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78284

A successful two-stage surgical repair of tetralogy of Fallot with absent pulmonary valve is reported. A newborn with hyperinflated lungs and tachypnea underwent pulmonary artery banding and an aortopulmonary artery shunt, which reversed the air trapping. A successful corrective operation was performed at 28 months of age, and the patient remains asymptomatic at 44 months of age. We believe that infants with signs of tracheobronchial compression should undergo pulmonary artery banding, with or without a Blalock-Taussig shunt, to relieve airway compression by the pulsatile, aneurysmal pulmonary arteries. Corrective operation can be delayed.




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