Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-28T08:45:47.143Z Has data issue: false hasContentIssue false

Aortic valve replacement in tetralogy of Fallot and pulmonary atresia with major aortoputmonary collateral arteries

Published online by Cambridge University Press:  19 August 2008

Hiroyuki Kito*
Affiliation:
From the Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka
Toshikatsu Yagihara
Affiliation:
From the Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka
Yasunaru Kawashima
Affiliation:
From the Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka
*
Dr. Hiroyuki Kito, Department of Cardiovascular Surgery, National Cardiovascular Center, 5–7–1, Fujishirodai, Suita, Osaka 565, Japan. Tel. (06)833-5012; Fax. (06)872-7486.

Summary

A 29-year-old woman who had tetralogy of Fallot and pulmonary atresia with major aortopulmonary collateral arteries developed aortic regurgitation due to infectious endocarditis. Isolated aortic valve replacement was undertaken because of heart failure unresponsive to medical therapy. Excessive flow through the aortopulmonary collateral arteries during cardiopulmonary bypass was controlled by means ofintraaortic balloons which were inflated to occlude the origin of the collateral arteries. Arterial return from the pump was delivered through separate cannulation of the ascending aorta and the right femoral artery. We believe that this method should be considered in those circumstances when excessive flow through systemic-to-pulmonary arteries is expected during cardiopulmonary bypass.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beach, PM, Bowman, FO, Kaiser, GA, Malm, JR.Total correction of Fallot in adolescents and adults. Circulation 1971; 44(Suppl Iyes): I 37I 43.Google Scholar
Tomizawa, Y, Fujimura, M, Nishiya, Y, Yokokawa, H, Sawatari, K, Nakagawa, T, Maeda, S.Transcatheter embolization of bronchial collateral arteries prior to intracardiac operation for adult tetralogy of Fallot. Kyoubu Geka 1985; 38: 216220.Google ScholarPubMed
McGoon, DC, Baird, DK, Davis, GD.Surgical management of large bronchial collateral arteries with pulmonary stenosis or atresia. Circulation 1975; 52: 109118.CrossRefGoogle ScholarPubMed
Matsuda, H, Hirose, H, Nakano, S, Shimazaki, Y, Shirakura, R, Kishimoto, H, Kobayashi, J, Ogawa, M, Arisawa, J, Kawashima, Y.Pseudotruncus arteriosus associated with large aortopulmonary collateral arteries—Operative indication and the management of collaterals. Nippon Kyoubu Geka Gakkai Zasshi 1985; 33: 10081016.Google Scholar
Matsuda, H, Ihara, K, Mori, T, Kitamura, S, Kawashima, Y.Tetralogy of Fallot associated with aortic insufficiency Ann Thorac Surg 1980; 29: 529533.Google Scholar
Peters, RM.Total repair of tetralogy of Fallot and replacement of aortic valve with Starr-Edwards prosthesis. J Thorac Cardiovasc Surg 1971; 61: 599601.Google Scholar
Takeuchi, E, Abe, T, Murase, M, Tanaka, M, Kawamura, M, Nogaki, H, Kaidhara, R, Shioi, K, Suenaga, Y, Hibi, M, Isaji, F, Hotta, A, Yono, Y, Watanabe, T, Itoh, K, Saigusa, H, Satoh, K, lyomasa, Y.A repair of tetralogy of Fallot with aortic regurgi tation due to infectious endocarditis. Nippon Kyoubu Geka Gakkai Zasshi 1983; 31: 520526.Google Scholar
Aru, GM, Cirio, E, Martelli, V.Replacement of the aortic valve in tetralogy of Fallot prior to intracardiac repair—a case report. Cardiol Young 1992; 2: 200201.Google Scholar