Abstract
The surgical management of pulmonary atresia with ventricular septal defect (VSD) and hypoplastic pulmonary arteries poses difficult problems. Adequate palliation was achieved in two such patients by restoring continuity between the right ventricle and the pulmonary arteries by means of a woven Dacron patch. The VSD was left unrepaired. Angiography performed one month after operation showed the reconstructed pulmonary outflow tract to be widely patent and the pulmonary arteries to be enlarged. This approach may allow subsequent total correction by closure of the VSD in these hopeless patients.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ebert P. A., Robinson S. J., Stanger P., Engle M. A. Pulmonary artery conduits in infants younger than six months of age. J Thorac Cardiovasc Surg. 1976 Sep;72(3):351–356. [PubMed] [Google Scholar]
- Gill C. C., Moodie D. S., McGoon D. C. Staged surgical management of pulmonary atresia with diminutive pulmonary arteries. J Thorac Cardiovasc Surg. 1977 Mar;73(3):436–442. [PubMed] [Google Scholar]
- 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]
- Norwood W. I., Freed M. D., Rocchini A. P., Bernhard W. F., Castaneda A. R. Experience with valved conduits for repair of congenital cardiac lesions. Ann Thorac Surg. 1977 Sep;24(3):223–232. doi: 10.1016/s0003-4975(10)63747-2. [DOI] [PubMed] [Google Scholar]
- Norwood W. I., Rosenthal A., Castaneda A. R. Tetralogy of Fallot with acquired pulmonary atresia and hypoplasia of pulmonary arteries. Report of surgical management in infancy. J Thorac Cardiovasc Surg. 1976 Sep;72(3):454–457. [PubMed] [Google Scholar]
- Pacifico A. D., Kirklin J. W., Blackstone E. H. Surgical management of pulmonary stenosis in tetralogy of Fallot. J Thorac Cardiovasc Surg. 1977 Sep;74(3):382–395. [PubMed] [Google Scholar]