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British Heart Journal logoLink to British Heart Journal
. 1989 Jul;62(1):65–68. doi: 10.1136/hrt.62.1.65

Growth of the pulmonary artery after neonatal balloon dilatation of the right ventricular outflow tract in an infant with the tetralogy of Fallot and atrioventricular septal defect.

J M Parsons 1, E J Ladusans 1, S A Qureshi 1
PMCID: PMC1216733  PMID: 2474311

Abstract

A two week old girl with tetralogy of Fallot and atrioventricular septal defect underwent palliation, for severe hypoxaemia, by balloon dilatation to the right ventricular outflow tract. This procedure was repeated once over the next eight months without complications. Serial right ventricular angiograms showed growth of the hypoplastic pulmonary ring ("annulus"), trunk, and arteries. Balloon dilatation is an alternative palliative procedure for patients with the tetralogy of Fallot which may promote growth of the pulmonary ring, trunk, and arteries.

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Selected References

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  1. Alfieri O., Blackstone E. H., Parenzan L. Growth of the pulmonary anulus and pulmonary arteries after the Waterston anastomosis. J Thorac Cardiovasc Surg. 1979 Sep;78(3):440–444. [PubMed] [Google Scholar]
  2. Arciniegas E., Farooki Z. Q., Hakimi M., Perry B. L., Green E. W. Classic shunting operations for congenital cyanotic heart defects. J Thorac Cardiovasc Surg. 1982 Jul;84(1):88–96. [PubMed] [Google Scholar]
  3. Blackstone E. H., Kirklin J. W., Bertranou E. G., Labrosse C. J., Soto B., Bargeron L. M., Jr Preoperative prediction from cineangiograms of postrepair right ventricular pressure in tetralogy of Fallot. J Thorac Cardiovasc Surg. 1979 Oct;78(4):542–552. [PubMed] [Google Scholar]
  4. Brock L. Late results of palliative operations for Fallot's tetralogy. J Thorac Cardiovasc Surg. 1974 Apr;67(4):511–518. [PubMed] [Google Scholar]
  5. Gale A. W., Arciniegas E., Green E. W., Blackstone E. H., Kirklin J. W. Growth of the pulmonary anulus and pulmonary arteries after the Blalock-Taussig shunt. J Thorac Cardiovasc Surg. 1979 Mar;77(3):459–465. [PubMed] [Google Scholar]
  6. Gay W. A., Jr, Ebert P. A. Aorta-to-right pulmonary artery anastomosis causing obstruction of the right pulmonary artery. Management during correction of tetralogy of Fallot. Ann Thorac Surg. 1973 Oct;16(4):402–410. doi: 10.1016/s0003-4975(10)65011-4. [DOI] [PubMed] [Google Scholar]
  7. Guyton R. A., Owens J. E., Waumett J. D., Dooley K. J., Hatcher C. R., Jr, Williams W. H. The Blalock-Taussig shunt. Low risk, effective palliation, and pulmonary artery growth. J Thorac Cardiovasc Surg. 1983 Jun;85(6):917–922. [PubMed] [Google Scholar]
  8. Kay P. H., Capuani A., Franks R., Lincoln C. Experience with the modified Blalock-Taussig operation using polytetrafluoroethylene (Impra) grafts. Br Heart J. 1983 Apr;49(4):359–363. doi: 10.1136/hrt.49.4.359. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kirklin J. W., Bargeron L. M., Jr, Pacifico A. D. The enlargement of small pulmonary arteries by preliminary palliative operations. Circulation. 1977 Oct;56(4 Pt 1):612–617. doi: 10.1161/01.cir.56.4.612. [DOI] [PubMed] [Google Scholar]
  10. Kirklin J. W., Blackstone E. H., Pacifico A. D., Brown R. N., Bargeron L. M., Jr Routine primary repair vs two-stage repair of tetralogy of Fallot. Circulation. 1979 Aug;60(2):373–386. doi: 10.1161/01.cir.60.2.373. [DOI] [PubMed] [Google Scholar]
  11. McGoon D. C., Baird D. K., Davis G. D. Surgical management of large bronchial collateral arteries with pulmonary stenosis or atresia. Circulation. 1975 Jul;52(1):109–118. doi: 10.1161/01.cir.52.1.109. [DOI] [PubMed] [Google Scholar]
  12. Newfeld E. A., Waldman D., paul M. H., Muster A. J., Cole R. B., Idriss F., Riker W. Pulmonary vascular disease after systemic-pulmonary arterial shunt operations. Am J Cardiol. 1977 May 4;39(5):715–720. doi: 10.1016/s0002-9149(77)80134-3. [DOI] [PubMed] [Google Scholar]
  13. Parenzan L., Alfieri O., Vanini V., Bianchi T., Villani M., Tiraboschi R., Crupi G., Locatelli G. Waterston anastomosis for initial palliation of tetralogy of Fallot. J Thorac Cardiovasc Surg. 1981 Aug;82(2):176–181. [PubMed] [Google Scholar]
  14. Qureshi S. A., Kirk C. R., Lamb R. K., Arnold R., Wilkinson J. L. Balloon dilatation of the pulmonary valve in the first year of life in patients with tetralogy of Fallot: a preliminary study. Br Heart J. 1988 Sep;60(3):232–235. doi: 10.1136/hrt.60.3.232. [DOI] [PMC free article] [PubMed] [Google Scholar]

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