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Ann Thorac Surg 1993;55:172-174
© 1993 The Society of Thoracic Surgeons

Articles

Preoperative management of neonatal tetralogy of Fallot with absent pulmonary valve syndrome

Markus K. Heinemann, MD, Frank L. Hanley, MD*

Department of Cardiac Surgery, The Children's Hospital, Harvard Medical School, Boston, Massachusetts USA

Accepted for publication April 20, 1992.

* Address reprint requests to Dr Hanley, Division of Pediatric Cardiac Surgery, S-549, University of California, 505 Parnassus Ave, San Francisco, CA 94143.

In tetralogy of Fallot with absent pulmonary valve syndrome, aneurysmal enlargement of the central pulmonary arteries can be associated with severe bronchial stenosis and respiratory distress in the neonatal period. The ventilatory status of these patients must be stabilized before diagnostic and therapeutic interventions can be performed. This report describes the experience with prone positioning and emergency sternotomy in the preoperative care of a neonate.




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