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Ann Thorac Surg 2003;75:280-282
© 2003 The Society of Thoracic Surgeons

Case report

Absent pulmonary valve syndrome with intact ventricular septum and patent ductus arteriosus: report of two cases and a short review of the literature

Heynric B. Grotenhuis, MD*a, Aagje Nijveld, MDb, Ad Backx, MDc

a Department of Pediatric Intensive Care, University Hospital UMC St. Radboud Nijmegen, Nijmegen, Netherlands
b Department of Cardiothoracic Surgery, University Hospital UMC St. Radboud Nijmegen, Nijmegen, Netherlands
c Department of Pediatric Cardiology, University Medical Center St. Radboud, Nijmegen, The Netherlands

Accepted for publication August 14, 2002.

* Address reprint requests to Dr Grotenhuis, University Medical Center St. Radboud, Department of Pediatric Intensive Care, Postal Code 9101, 6500 HB Nijmegen, The Netherlands
e-mail: hgrotenhuis{at}hotmail.com

We describe two patients who both presented shortly after birth with congestive heart failure due to an absent pulmonary valve and patent ductus arteriosus. Diagnostic evaluation revealed in both cases an aneurysmatic dilation of the pulmonary vascular tree and an abundant left-to-right shunt over a large patent ductus arteriosus. Ventricular septal defects were not detected. Early surgical closure of the patent ductus arteriosus improved the hemodynamic situation so that implantation of a homograft valve could be delayed.




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 Eur J Cardiothorac SurgHome page
M. A. Norgaard, N. Alphonso, A. E. Newcomb, C. P. Brizard, and A. D. Cochrane
Absent pulmonary valve syndrome: Surgical and clinical outcome with long-term follow-up
Eur J Cardiothorac Surg, May 1, 2006; 29(5): 682 - 687.
[Abstract] [Full Text] [PDF]


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