HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hiromi Kurosawa Yasuharu Imai Makoto Nakazawa Kazuo Momma Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kurosawa, H. Articles by Takao, A. Search for Related Content PubMed PubMed Citation Articles by Kurosawa, H. Articles by Takao, A.

Ann Thorac Surg 1988;45:661-666
© 1988 The Society of Thoracic Surgeons

---

Articles

Conotruncal Repair of Tetralogy of Fallot

Departments of Pediatric Cardiovascular Surgery and Pediatric Cardiology, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication December 29, 1987.

^* Address reprint requests to Dr. Kurosawa, Heart Institute of Japan, Tokyo Women's Medical College, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162, Japan

A repair within the conotruncal portion of the right ventricle is introduced. It was used for the intracardiac repair of 30 consecutive patients with tetralogy of Fallot. The infundibular septum was totally resected to reduce the muscular outflow stenosis. Short patch infundibuloplasty with a large monocusp was then used. Instead of the tricuspid septal leaflet, the membranous flap was employed as the suture line for patching the ventricular septal defect (VSD) to avoid a conduction disturbance, residual VSD, and fixing of the tricuspid septal leaflet. The right ventricular (RV) to systemic arterial pressure ratio was 50.0 ± 14.6% (N = 26) and right atrial pressure was 9.0 ± 2.5 mm Hg (N = 26) one month after operation. RV end-diastolic volume was 93.0 ± 30.5% of normal (N = 15) before operation and 96.7 ± 29.0% of normal one month after operation in the same patients. These data suggest that a conotruncal repair can maintain good RV function with low right atrial pressure and with no increase of RV volume.

This article has been cited by other articles:

				H. Kurosawa, K. Morita, M. Yamagishi, S. Shimizu, A. E. Becker, R. H. Anderson, and E. L. Bove Conotruncal Repair For Tetralogy Of Fallot: Midterm Results J. Thorac. Cardiovasc. Surg., February 1, 1998; 115(2): 351 - 360. [Abstract] [Full Text]

				M. Yamagishi and H. Kurosawa Outflow reconstruction of tetralogy of Fallot using a Gore-Tex valve Ann. Thorac. Surg., December 1, 1993; 56(6): 000349759390700R - 349759390700R. [Abstract] [PDF]

				C. E. Howell, S. Y. Ho, R. H. Anderson, and M. J. Elliott Variations within the fibrous skeleton and ventricular outflow tracts in tetralogy of Fallot Ann. Thorac. Surg., September 1, 1990; 50(3): 450 - 457. [Abstract] [PDF]