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Ann Thorac Surg 2000;69:1601-1602
© 2000 The Society of Thoracic Surgeons


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A new approach to correction of tetralogy of Fallot with absent pulmonary valve

Viktor Hraska, MDa

a Department of Cardiovascular Surgery, Children’s University Hospital, Bratislava, Czech Republic

Address reprint requests to Dr Hraska, Department of Cardiovascular Surgery, Children’s University Hospital, Limbova 1, 833 40 Bratislava, Slovakia
e-mail: hraska{at}dkch.dfnsp.sk

A new technique for primary repair of tetralogy of Fallot with absent pulmonary valve syndrome is suggested. In addition to the standard intracardiac portion of tetralogy of Fallot repair, this approach includes translocation of the pulmonary artery anterior to the aorta, shortening of the ascending aorta, and shortening and plication of the pulmonary artery. This new technique should eliminate compression of the tracheobronchial tree caused by impingement by the pulmonary artery.




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