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

This Article Alert me when this article is cited Alert me if a correction is posted 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Okita, Y. Articles by Tamura, T. Search for Related Content PubMed PubMed Citation Articles by Okita, Y. Articles by Tamura, T.

The Annals of Thoracic Surgery, Vol 49, 775-779, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Palliative reconstruction of right ventricular outflow tract in tetralogy with hypoplastic pulmonary arteries

Y Okita, S Miki, K Kusuhara, Y Ueda, T Tahata, K Yamanaka and T Tamura
Department of Cardiovascular Surgery and Pediatric Cardiology, Tenri Hospital, Nara, Japan.

Twenty-five symptomatic patients with tetralogy of Fallot underwent palliative reconstruction of the right ventricular outflow tract without closure of the ventricular septal defect. Their ages ranged from 5 months to 20 years (mean age, 3.5 years). Eight patients had had 13 prior systemic-pulmonary arterial shunts. There were six hospital deaths (24%). Three patients needed a repeat right ventricular outflow reconstruction. There was one late death. The other patients manifested clinical improvement; hematocrit decreased from 0.54 to 0.43 (p less than 0.01) and arterial oxygen saturation increased from 63.0% to 83.2% (p less than 0.01). The size of the pulmonary artery, defined as the ratio of the sum of the diameter of the right and left pulmonary arteries to the diameter of the descending aorta, increased from 0.72 to 2.06 (p less than 0.01). Sixteen patients underwent a corrective operation 2.4 years after palliation. The results of palliative right ventricular outflow tract reconstruction suggest that it may be an optional strategy for the treatment of symptomatic patients who have tetralogy of Fallot with severely hypoplastic pulmonary arteries.

This article has been cited by other articles:

				B. Korbmacher, A. Heusch, U. Sunderdiek, E. Gams, S. Rammos, M. R. Langenbach, and J. D. Schipke Evidence for palliative enlargement of the right ventricular outflow tract in severe tetralogy of Fallot Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 945 - 948. [Abstract] [Full Text] [PDF]

				R. G. Seipelt, J. F. Vazquez-Jimenez, J. S. Sachweh, M.-C. Seghaye, and B. J. Messmer Antegrade palliation for diminutive pulmonary arteries in Tetralogy of Fallot Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 721 - 724. [Abstract] [Full Text] [PDF]