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Ann Thorac Surg 2006;81:744-746
© 2006 The Society of Thoracic Surgeons

Case report

Right Ventricular Outflow Tract Stent as a Bridge to Surgery in a Premature Infant with Tetralogy of Fallot

Antonio Laudito, MD a , b , c , * , Varsha M. Bandisode, MD a , b , c , Jon F. Lucas, MD a , b , c , Wolfgang A. Radtke, MD a , b , c , William T. Adamson, MD a , b , c , Scott M. Bradley, MD a , b , c

a Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
b Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina, USA
c Division of Pediatric Surgery, Medical University of South Carolina, Charleston, South Carolina

Accepted for publication October 29, 2004.

* Address correspondence to Dr Laudito, Medical University of South Carolina, 96 Jonathan Lucas St, PO Box 25061, Charleston, SC 29425 (Email: laudito{at}musc.edu).

Despite dramatic progress in neonatal cardiac surgery, prematurity and low birth weight remain risk factors for poor outcome. Attempts to delay intervention with supportive therapy have been shown to increase morbidity and mortality. We present a case of an 840 gram, 28-week gestation newborn with tetralogy of Fallot, in whom palliation was achieved with a right ventricular outflow tract stent. This management allowed subsequent successful complete repair.




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