ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Kevin G. Watterson
Torsten K. Malm
Tom R. Karl
Roger B.B. Mee
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Watterson, K. G.
Right arrow Articles by Mee, R. B. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Watterson, K. G.
Right arrow Articles by Mee, R. B. B.

Ann Thorac Surg 1992;54:1116-1119
© 1992 The Society of Thoracic Surgeons

Articles

Absent pulmonary valve syndrome: Operation in infants with airway obstruction

Kevin G. Watterson, FRACS, Torsten K. Malm, MD, PhD, Tom R. Karl, MD*, Roger B.B. Mee, FRACS

Royal Children's Hospital, Melbourne, Victoria, Australia

Accepted for publication March 20, 1992.

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

From 1979 through 1991, 19 infants with absent pulmonary valve syndrome and airway obstruction were seen for surgical treatment. All patients underwent extensive pulmonary artery aneurysmorrhaphy using cardiopulmonary bypass. Fourteen patients had simultaneous transatrial ventricular septal defect (VSD) closure, infundibular resection, and placement of a short transannular patch; 2 had transventricular VSD closure and infundibular resection without a transannular patch; 1 underwent transventricular VSD closure and transannular patching; and 2 underwent pulmonary artery aneurysmorrhaphy alone with the VSD left open. All 19 infants had good hemodynamics when taken from the operating theater, but 3 died postoperatively of severe airway obstruction, despite further tracheobronchopexy procedures in 2 (hospital mortality rate, 16%; confidence limits, 7% to 29%). Among the 16 patients discharged from the hospital, there was one late death. Five other patients have required reoperation for branch pulmonary artery stenosis (n = 2), residual airway obstruction resulting from persistent pulmonary artery dilatation (n = 1), closure of VSD (n = 1), and homograft valve insertion for pulmonary incompetence and right ventricular dysfunction (n = 1). There are 15 long-term survivors. Eight of them have episodic bronchospasm of mild to moderate severity, and all are responsive to sympathomimetic bronchodilator aerosols. The remaining 7 are asymptomatic.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
B. Alsoufi, W. G. Williams, Z. Hua, S. Cai, T. Karamlou, C. C. Chan, J. G. Coles, G. S. Van Arsdell, and C. A. Caldarone
Surgical outcomes in the treatment of patients with tetralogy of Fallot and absent pulmonary valve
Eur J Cardiothorac Surg, March 1, 2007; 31(3): 354 - 359.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. W. Brown, M. Ruzmetov, P. Vijay, M. D. Rodefeld, and M. W. Turrentine
Surgical Treatment of Absent Pulmonary Valve Syndrome Associated With Bronchial Obstruction
Ann. Thorac. Surg., December 1, 2006; 82(6): 2221 - 2226.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. Nolke, A. Azakie, P. V. Anagnostopoulos, N. Alphonso, and T. R. Karl
The Lecompte Maneuver for Relief of Airway Compression in Absent Pulmonary Valve Syndrome.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1802 - 1807.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Yamagishi, K. Shuntoh, A. Takahashi, T. Shinkawa, T. Miyazaki, and N. Kitamura
Anterior translocation of the right pulmonary artery for airway obstruction caused by pulmonary hypertension
Ann. Thorac. Surg., August 1, 2002; 74(2): 569 - 571.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Mavroudis, M. Gevitz, W. S. Ring, C. L. McIntosh, and M. Schwartz
The Society of Thoracic Surgeons national congenital heart surgery database report: : Analysis of the first harvest (1994-1997)
Ann. Thorac. Surg., August 1, 1999; 68(2): 601 - 624.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. E. McDonnell, G. W. Raff, J. W. Gaynor, J. Rychik, R. I. Godinez, W. M. DeCampli, and T. L. Spray
Outcome after repair of tetralogy of Fallot with absent pulmonary valve
Ann. Thorac. Surg., May 1, 1999; 67(5): 1391 - 1395.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Conte, A. Serraf, F. Godart, F. Lacour-Gayet, J. Petit, J. Bruniaux, and C. Planche
Technique to Repair Tetralogy of Fallot With Absent Pulmonary Valve
Ann. Thorac. Surg., May 1, 1997; 63(5): 1489 - 1491.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
Z. Al-Halees, M. Ahmad, O. Galal, F. Godart, and C. Planche
Tetralogy of Fallot With Absent Pulmonary Valve: In Praise of Two-Stage Repair
Ann. Thorac. Surg., April 1, 1997; 63(4): 1216 - 1217.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1992 by The Society of Thoracic Surgeons.