Two cases of tetralogy of Fallot with absent pulmonary valve repaired by modified Kreutzer's technique

Gen Thorac Cardiovasc Surg. 2008 Jan;56(1):32-5. doi: 10.1007/s11748-007-0184-9. Epub 2008 Jan 22.

Abstract

Two severely symptomatic infants of tetralogy of Fallot with absent pulmonary valve successfully repaired by a modified Kreutzer's technique are described. In addition to the standard repair of tetralogy of Fallot, our surgical technique consists of extensive pulmonary reduction arterioplasty, which allows tracheobronchial decompression. Both patients tolerated surgery and showed significant relief of airway compression and clinical symptoms, although they required prolonged mechanical ventilatory support. The modified Kreutzer's technique is relatively simple and could be sufficiently efficacious even for symptomatic infants of tetralogy of Fallot with absent pulmonary valve.

Publication types

  • Case Reports

MeSH terms

  • Bronchoscopy
  • Cardiac Surgical Procedures*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Pulmonary Valve / abnormalities
  • Pulmonary Valve / surgery*
  • Respiration, Artificial
  • Severity of Illness Index
  • Tetralogy of Fallot / pathology
  • Tetralogy of Fallot / surgery*
  • Treatment Outcome