[Pulmonary artery reconstruction for extreme tetralogy of Fallot and similar complex heart diseases before cardiopulmonary bypass].
It is sometimes difficult to repair the pulmonary artery in extreme tetralogy of Fallot and other similar complex heart diseases, such as pulmonary atresia with major aorto-pulmonary collateral arteries, because of their complexity. Therefore, cardiopulmonary bypass takes longer in these patients than in those with usual tetralogy of Fallot. We undertook reconstruction of the pulmonary artery in 4 cases of extreme tetralogy of Fallot and other similar complex heart diseases before cardiopulmonary bypass. We investigated the cardiopulmonary bypass time in these patients and compared it with that in patients with usual tetralogy of Fallot. There was no significant difference in cardiopulmonary bypass time between the two groups. In the 4 extreme cases, the postoperative course was uneventful. We conclude that this attempt reduced the cardiopulmonary bypass time and facilitated the surgical correction.
Department of Cardiovascular Surgery, Tokyo Women's Medical college Daini Hospital, Japan.
K
K
Shiroma
K
K
Suma
H
H
Kaneko
K
K
Mitsui
Y
Y
Suda
D000293:Adolescent; D001157:Arterial Occlusive Diseases / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D002648:Child; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D011652:Pulmonary Circulation; D011664:Pulmonary Valve / Q000002:abnormalities / Q000601:surgery; D013771:Tetralogy of Fallot / Q000503:physiopathology / Q000601:surgery*