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Pediatric Cardiology

, Volume 34, Issue 2, pp 438–440 | Cite as

Stenting Right Ventricular Outflow in an Infant With Tetralogy of Fallot and Well-Developed Pulmonary Arteries

  • Fedoua El Louali
  • Richard Azagoh-Kouadio
  • Issam Kammache
  • Virginie Fouilloux
  • Bernard Kreitmann
  • Alain FraisseEmail author
Case Report

Abstract

A right ventricular outflow tract stent was implanted in a 1-month-old (3.5 kg) baby boy with tetralogy of Fallot and worsening cyanosis to relieve infundibular and pulmonary valve stenosis in the setting of well-developed pulmonary artery branches. This management allowed a symmetric and optimal growth of the pulmonary artery branches, with right and left pulmonary arteries measuring 7-mm (z-score, +1.3 SD) and 7.3-mm (z-score, +1.7 SD), respectively, 3 months after stent implantation. No signs of pulmonary overcirculation developed, and complete surgical repair was performed at the age of 6 months.

Keywords

Pulmonary artery Pulmonary artery branches Right ventricular outflow Tetralogy of Fallot Valve stenosis Stenting Blalock-Taussig shunt 

Supplementary material

Movie clip 1 Transthoracic echocardiography, parasternal short-axis view, with color-Doppler showing a stenotic right ventricular outflow tract, beginning at the infundibular level by turbulent color-Doppler flow. (AVI 11681 kb)

Movie clip 2 Pulmonary angiography, lateral view, showing stenosis at the infundibular and pulmonary valve level. (AVI 653 kb)

Movie clip 3 Pulmonary angiography, lateral view, showing the position of the stent across the infundibulum and the pulmonary valve. (AVI 655 kb)

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Fedoua El Louali
    • 1
  • Richard Azagoh-Kouadio
    • 1
  • Issam Kammache
    • 1
  • Virginie Fouilloux
    • 1
  • Bernard Kreitmann
    • 1
  • Alain Fraisse
    • 2
    Email author
  1. 1.Cardiologie PédiatriqueHôpital de la Timone-EnfantsMarseilleFrance
  2. 2.Pediatric Cardiology DivisionHôpital de la Timone-EnfantsMarseilleFrance

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