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Yoshiya Toyoda
Masahiro Yamaguchi
Hidetaka Ohashi
Yoshihiro Oshima
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Ann Thorac Surg 1996;61:210-213
© 1996 The Society of Thoracic Surgeons

Case Report

Staged Repair of Tetralogy of Fallot and Pulmonary Atresia Without Central Pulmonary Arteries

Yoshiya Toyoda, MD, Masahiro Yamaguchi, MD, Hidetaka Ohashi, MD, Masanao Imai, MD, Yoshihiro Oshima, MD, Naoki Yoshimura, MD, Teruo Yamashita, MD

Department of Cardiothoracic Surgery, Kobe Children's Hospital, Kobe, Japan

Accepted for publication July 12, 1995.

A 15-year-old boy with tetralogy of Fallot and pulmonary atresia without central pulmonary arteries who was successfully treated using a staged approach is presented. The first stage consisted of the creation of central pulmonary arteries. In the second stage, the continuity between the right ventricle and the pulmonary arteries was established with closure of the ventricular septal defect. Some patients previously considered to be unsuitable candidates for correction may be successfully repaired using this approach.






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