TECHNIQUE TO REPAIR TETRALOGY OF FALLOT WITH ABSENT PULMONARY VALVE

The syndrome of tetralogy of Fallot with absent pulmonary valve is cha racterized by aneurysmal dilatation of the pulmonary arteries causing tracheobronchial obstruction of varying degree. Relief of this obstruc tion is the main goal of the surgical repair and can best be achieved by appropriate pulmonary arterioplasty. We describe our current techni que to repair this syndrome in infants and older children including pu lmonary arterioplasty, ventricular septal defect closure, and right ve ntricular outflow tract reconstruction without valve insertion. (C) 19 97 by The Society of Thoracic Surgeons.