HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pacifico, A. D. Articles by Blackstone, E. H. Search for Related Content PubMed PubMed Citation Articles by Pacifico, A. D. Articles by Blackstone, E. H.

The Journal of Thoracic and Cardiovascular Surgery, Vol 74, 382-395, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Surgical management of pulmonary stenosis in tetralogy of Fallot

AD Pacifico, JW Kirklin and EH Blackstone

Fifty-five consecutive patients with the tetralogy of Fallot underwent intracardiac repair in a 12 month period. A standardized protocol for outflow tract enlargement was used. When the measured diameter of the pulmonary valve ring was at least the "minimum acceptable pulmonary valve ring diameter," primary patch-graft enlargement across the valve ring was not done (Group I, 34 patients); when it was less, primary patch-graft enlargement was done (Group II, 21 patients). The right ventricular-left ventricular systolic pressure ratio (PRV/LV) after repair without patch-graft enlargement across the ring was related to the size of the ring. Sixteen (94 percent) of 17 such patients with normal-sized or large pulmonary valve rings (according to the criteria of Rowlatt, Rimoldi, and Lev) had PRV/LV equal to or less than 0.65; four (80 percent) of five patients with smaller rings but within the 50 percent confidence limits had PRV/LV equal to or less than 0.65; five (56 percent) of nine with still smaller rings but within the 72.5 percent confidence limits had PRV/LV equal to or less than 0.65. In Group II, 15 patients had abnormally small rings, but after patch-graft enlargement the mean PRV/LV was 0.44 +/- 0.140. A surgical protocol based on these data has been developed.

This article has been cited by other articles:

				T. Sluysmans and S. D. Colan Theoretical and empirical derivation of cardiovascular allometric relationships in children J Appl Physiol, August 1, 2005; 99(2): 445 - 457. [Abstract] [Full Text] [PDF]

				J. T. Christenson, D. Vala, J. Sierra, M. Beghetti, and A. Kalangos Blood group incompatibility and accelerated homograft fibrocalcifications J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 242 - 250. [Abstract] [Full Text] [PDF]

				R. J. F. Baskett, M. A. Nanton, A. E. Warren, and D. B. Ross Human leukocyte antigen-DR and ABO mismatch are associated with accelerated homograft valve failure in children: implications for therapeutic interventions J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 232 - 238. [Abstract] [Full Text] [PDF]

				C. Alexiou, Q. Chen, M. Galogavrou, J. Gnanapragasam, A. P. Salmon, B. R. Keeton, M. P. Haw, and J. L. Monro Repair of tetralogy of Fallot in infancy with a transventricular or a transatrial approach Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 174 - 183. [Abstract] [Full Text] [PDF]

				C. Alexiou, H. Mahmoud, A. Al-Khaddour, J. Gnanapragasam, A. P. Salmon, B. R. Keeton, and J. L. Monro Outcome after repair of tetralogy of Fallot in the first year of life Ann. Thorac. Surg., February 1, 2001; 71(2): 494 - 500. [Abstract] [Full Text] [PDF]

				M. A. Maluf, D. M. Braile, C. Silva, R. Catani, A. C. Carvalho, and E. Buffolo Reconstruction of the pulmonary valve and outflow tract with bicuspid prosthesis in tetralogy of Fallot Ann. Thorac. Surg., December 1, 2000; 70(6): 1911 - 1917. [Abstract] [Full Text] [PDF]

				A. J. Schlichter, C. Kreutzer, R. d. C. Mayorquim, J. L. Simon, M. I. Roman, H. Vazquez, E. A. Kreutzer, G. O. Kreutzer, and S. R. A. Jonas Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 869 - 879. [Abstract] [Full Text] [PDF]

				J. Caspi, E. Zalstein, N. Zucker, A. Applebaum, L. H. Harrison Jr, N. A. Munfakh, H. A. Heck Jr, T. B. Ferguson Jr, A. Stopa, M. White, et al. Surgical management of tetralogy of fallot in the first year of life Ann. Thorac. Surg., October 1, 1999; 68(4): 1344 - 1348. [Abstract] [Full Text] [PDF]

				T. Carrel, I. Mattila, J.-P. Pfammatter, and M. Leijala Direct Reconstruction of the Pulmonary Artery During the Arterial Switch Operation: An Interesting Surgical Option With Excellent Hemodynamic Results Ann. Thorac. Surg., April 1, 1998; 65(4): 1115 - 1119. [Abstract] [Full Text] [PDF]

				R. J. Baskett, D. B. Ross, M. A. Nanton, and D. A. Murphy FACTORS IN THE EARLY FAILURE OF CRYOPRESERVED HOMOGRAFT PULMONARY VALVES IN CHILDREN: PRESERVED IMMUNOGENICITY? J. Thorac. Cardiovasc. Surg., November 1, 1996; 112(5): 1170 - 1179. [Abstract] [Full Text]

				A. J. Schlichter, C. Kreutzer, R. de C.Mayorquim, J. L. Simon, H. Vazquez, M. I. Roman, and G. O. A. Kreutzer Long-Term Follow-up of Autologous Pericardial Valved Conduits Ann. Thorac. Surg., July 1, 1996; 62(1): 155 - 160. [Abstract] [Full Text]

				M. S. Uva, F. Lacour-Gayet, T. Komiya, A. Serraf, J. Bruniaux, A. Touchot, D. Roux, J. Petit, and C. Planche Surgery for tetralogy of Fallot at less than six months of age J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1291 - 1300. [Abstract] [Full Text]