Pediatric Cardiology

, Volume 29, Issue 5, pp 946–949 | Cite as

Balloon Dilation of the Pulmonary Valve in Premature Infants with Tetralogy of Fallot

  • Vikas Kohli
  • Sushil Azad
  • Manvinder Singh Sachdev
  • Reena Joshi
  • Raja Joshi
  • Ebeid R. Makram
Original Article

Abstract

Infants with tetralogy of Fallot (ToF) presenting with desaturation may require augmentation of the pulmonary blood flow, usually in the form of a Blalock–Taussig shunt. Shunts may result in a preferential increase in blood flow to one lung. They also may be associated with significant morbidity and possibly mortality of premature infants. Balloon dilation of the pulmonary valve is reported to improve saturation in early infancy. This report describes two premature infants (weighing, respectively, 1.8 and 1.6 kg) with ToF and desaturation for whom balloon dilation of the pulmonary valve showed good results. Neither infant required palliative surgery. At this writing, one infant has already undergone complete repair.

Keywords

Premature Tetralogy of Fallot Pulmonary valve Balloon dilation 

References

  1. 1.
    Bove T, Francois K, De Groote K, Suys B, De Wolf D, Verhaaren H, Matthys D, Moerman A, Poelaert J, Vanhaesebroeck P, Van Nooten G (2004) Outcome analysis of major cardiac operations in low weight neonates. Ann Thorac Surg 78:181–187PubMedCrossRefGoogle Scholar
  2. 2.
    Chen MR, Hwang HK, Yu CH, Lin YC (2005) Cardiac catheterization in low-birth-weight infants. J Formos Med Assoc 104:408–411PubMedGoogle Scholar
  3. 3.
    Fenton KN, Siewers RD, Rebovich B, Pigula FA (2003) Interim mortality in infants with systemic-to-pulmonary artery shunts. Ann Thorac Surg 76:152–156PubMedCrossRefGoogle Scholar
  4. 4.
    Godart F, Rey C, Muilwijk C, Francart C, Breviere GM, Vaksmann G (1996) Percutaneous pulmonary valvuloplasty in neonates and infants with tetralogy of Fallot. Arch Mal Coeur Vaiss 89:533–539PubMedGoogle Scholar
  5. 5.
    Godart F, Rey C, Prat A, Muilwijk C, Francart C, Vaksmann G, Breviere GM (1998) Early and late results and the effects on pulmonary arteries of balloon dilatation of the right ventricular outflow tract in tetralogy of Fallot. Eur Heart J 19:595–600PubMedCrossRefGoogle Scholar
  6. 6.
    Guerin P, Jimenez M, Dos Santos P, Srour S, Choussat A (1996) Percutaneous dilatation of the pulmonary tract in tetralogy of Fallot. Arch Mal Coeur Vaiss 89:541–545PubMedGoogle Scholar
  7. 7.
    Kohli V (2005) Balloon dilatation of pulmonary valve in tetralogy of Fallot’s. Indian J Pediatr 72:181PubMedGoogle Scholar
  8. 8.
    Kretschmar O, Dahnert I, Berger F, Ewert P, Lange PE (2000) Interventional treatment of congenital heart defects in infants with a body weight up to 2,500 grams. Z Kardiol 89:1126–1132PubMedCrossRefGoogle Scholar
  9. 9.
    Massoud I, Imam A, Mabrouk A, Boutros N, Kassem A, Daouod A, El Hakem MA (1999) Palliative balloon valvoplasty of the pulmonary valve in tetralogy of Fallot. Cardiol Young 9:24–36PubMedCrossRefGoogle Scholar
  10. 10.
    Matsuoka S, Ushiroguchi Y, Kubo M, Tatara K, Kitagawa T, Katoh I, Kuroda Y (1993) Balloon pulmonary valvuloplasty for infants with severe tetralogy of Fallot. Jpn Heart J 34:643–651PubMedGoogle Scholar
  11. 11.
    Michel-Behnke I, Thul J, Schranz D (1999) Balloon dilatation of the pulmonary valve in a 690-gm neonate with tetralogy of Fallot. J Perinatol 19:305–306PubMedCrossRefGoogle Scholar
  12. 12.
    Oppido G, Napoleone CP, Formigari R, Gabbieri D, Pacini D, Frascaroli G, Gargiulo G (2004) Outcome of cardiac surgery in low-birth-weight and premature infants. Eur J Cardiothorac Surg 26:44–53PubMedCrossRefGoogle Scholar
  13. 13.
    Rao PS, Brais M (1988) Balloon pulmonary valvuloplasty for congenital cyanotic heart defects. Am Heart J 115:1105–1110PubMedCrossRefGoogle Scholar
  14. 14.
    Reddy VM, McElhinney DB, Sagrado T, Parry AJ, Teitel DF, Hanley FL (1999) Results of 102 cases of complete repair of congenital heart defects in patients weighing 700 to 2,500 grams. J Thorac Cardiovasc Surg 117:324–331CrossRefGoogle Scholar
  15. 15.
    Rossi AF, Seiden HS, Sadeghi AM, Nguyen KH, Quintana CS, Gross RP, Griepp RB (1998) The outcome of cardiac operations in infants weighing two kilograms or less. J Thorac Cardiovasc Surg 116:28–35PubMedCrossRefGoogle Scholar
  16. 16.
    Sreeram N, Saleem M, Jackson M, Peart I, McKay R, Arnold R, Walsh K (1991) Results of balloon pulmonary valvuloplasty as a palliative procedure in tetralogy of Fallot. J Am Coll Cardiol 18:159–165PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Vikas Kohli
    • 1
  • Sushil Azad
    • 1
  • Manvinder Singh Sachdev
    • 1
  • Reena Joshi
    • 1
  • Raja Joshi
    • 1
  • Ebeid R. Makram
    • 2
  1. 1.Department of Pediatric Cardiology and Congenital Cardiac SurgeryIndraprastha Apollo HospitalNew DelhiIndia
  2. 2.Department of PediatricsUniversity of Mississippi Medical CenterJacksonUSA

Personalised recommendations