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Management of post-operative ventilator dependency in an operated case of tetralogy of Fallot with absent pulmonary valve: a team approach involving cardiac surgeon, cardiologist, intensivist, and radiologist

Published online by Cambridge University Press:  13 May 2022

Abhay Pota Open the ORCID record for Abhay Pota [Opens in a new window] ,
Garima Biyani Open the ORCID record for Garima Biyani [Opens in a new window]  and
Amit Misri
Abhay Pota*
Affiliation:
Department of Paediatric Cardiology, Medanta-The Medicity, Gurgaon, India
Garima Biyani
Affiliation:
Department of Paediatric Cardiology, Medanta-The Medicity, Gurgaon, India
Amit Misri
Affiliation:
Department of Paediatric Cardiology, Medanta-The Medicity, Gurgaon, India
*
Author for correspondence: Dr Abhay Pota, MBBS, DNB, Department of Paediatric Cardiology, Medanta-The Medicity, House no. 347, Sector 47, Gurgaon, Haryana, 122018, India. Tel: 91-8512018784. E-mail: [email protected]
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Abstract

Tetralogy of Fallot with absent pulmonary valve syndrome is commonly associated with trachea-bronchial anomalies, possibly due to airway compression caused by massively dilated pulmonary arteries secondary to severe pulmonary regurgitation. This airway obstruction may persist post-operatively also. We report a case of an infant who required a series of management strategies including bronchial stenting to manage his obstructive symptoms.

Keywords

Tetralogy of Fallotabsent pulmonary valve syndromebronchial stentingbiodegradable stentmedela suction
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 9 , September 2022 , pp. 1527 - 1529
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Lakier, JB, Stanger, P, Heymann, MA, Hoffman, JI, Rudolph, AM. Tetralogy of Fallot with absent pulmonary valve. Natural history and hemodynamic considerations. Circulation 1974; 50: 167–175.CrossRefGoogle ScholarPubMed
Macartney, FJ, Miller, GAH. Congenital absence of the pulmonary valve. Br Heart J 1970; 32: 483–490.CrossRefGoogle ScholarPubMed
Fischer, DR, Neches, WH, Beerman, LB, et al. Tetralogy of Fallot with absent pulmonary valve: analysis of 17 patients. Am J Cardiol 1984; 53: 1433–I 437.CrossRefGoogle ScholarPubMed
Dunnigan, A, Oldham, HN, Benson, DW Jr. Absent pulmonary valve syndrome in infancy: surgery reconsidered. Am J Cardiol 1981; 48: 117–122.CrossRefGoogle ScholarPubMed
Stellin, G, Jonas, RA, Goh, TH, et al. Surgical treatment of absent pulmonary valve syndrome in infants: relief of bronchial obstruction. Ann Thorac Surg 1983; 36: 468–475.CrossRefGoogle ScholarPubMed
McCaughan, B, Danielson, G, Driscoll, D, Mcgoon, D. Tetralogy of Fallot with absent pulmonary valve: early and late results of surgical treatment. J Thorac Cardiovasc Surg 1985; 89: 280–287.CrossRefGoogle ScholarPubMed
Sommer, D, Forte, V. Advances in the management of major airway collapse: the use of airway stents. Otolaryngol Clin North Am 2000; 33: 163–177.CrossRefGoogle ScholarPubMed
Kaditis, AG, Gondor, M, Nixon, PA, et al. Airway complications following pediatric lung and heart-lung transplantation. Am J Respir Crit Care Med 2000; 162: 301–309.CrossRefGoogle ScholarPubMed
Sewall, GK, Warner, T, Connor, NP, Hartig, GK. Comparison of resorbable poly-L-lactic acidpolyglycolic acid and internal Palmaz stents for the surgical correction of severe tracheomalacia. Ann Otol Rhinol Laryngol 2003; 112: 515–521.CrossRefGoogle Scholar
George, RS, Papagiannopoulos, K. Advances in chest drain management in thoracic disease. J Thorac Dis 2016; 8: S55–S64. DOI 10.3978/j.issn.2072-1439.2015.11.19.Google ScholarPubMed