title: Per-operative stent placement in the right pulmonary artery; a hybrid technique for the management of pulmonary artery branch stenosis at the time of pulmonary valve replacement in adult Fallot patients.
abstract: After having undergone surgical correction at an early age, many patients with tetralogy of Fallot develop long-term complications including progressive pulmonary regurgitation and peripheral pulmonary stenosis. A high percentage of these patients need to undergo a second operation in their adolescence or early adulthood. If simultaneous treatment of both pulmonary regurgitation and peripheral pulmonary stenosis is warranted, a complete surgical approach has several disadvantages. We describe four cases of Fallot patients with severe pulmonary regurgitation and peripheral pulmonary stenosis who were treated using a hybrid approach involving surgical implantation of a pulmonary homograft and peroperative stenting of the pulmonary artery.
authors.affiliation: Department of Cardiology, Academic Medical Center, PO Box 22660, 1100 DD, Amsterdam, Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Windhausen
authors.forename: S M
authors.initials: SM
authors.lastname: Boekholdt
authors.forename: B J
authors.initials: BJ
authors.lastname: Bouma
authors.forename: M
authors.initials: M
authors.lastname: Groenink
authors.forename: A P C M
authors.initials: AP
authors.lastname: Backx
authors.forename: R J
authors.initials: RJ
authors.lastname: de Winter
authors.forename: B J M
authors.initials: BJ
authors.lastname: Mulder
authors.forename: M G
authors.initials: MG
authors.lastname: Hazekamp
authors.forename: D R
authors.initials: DR
authors.lastname: Koolbergen