title: Two cases of tetralogy of Fallot with absent pulmonary valve repaired by modified Kreutzer's technique.
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.
authors.affiliation: Department of Cardiovascular Surgery, Ibaraki Children's Hospital, 3-3-1 Futabadai, Mito, Ibaraki, 311-4145, Japan. yukiko_b@mac.com
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Ban
authors.forename: Masakazu
authors.initials: M
authors.lastname: Abe
authors.forename: Seigo
authors.initials: S
authors.lastname: Gomi
mesh_terms: D001999:Bronchoscopy; D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011664:Pulmonary Valve / Q000002:abnormalities / Q000601:surgery*; D012121:Respiration, Artificial; D012720:Severity of Illness Index; D013771:Tetralogy of Fallot / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome