Summary
The management of three infants born with a combination of tetralogy of Fallot and a vascular ring causing tracheoesophageal compression is described. There was a double aortic arch in two patients and an aberrant left subclavian artery with left ligamentum arteriosum and right aortic arch in one. Single-stage corrective surgery of both lesions during infancy, performed under profound hypothermia and circulatory arrest, was successful. In our opinion, this is the treatment of choice, when the anatomy of the tetralogy is favorable for primary correction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arciniegas E, Hakimi M, Hertzler JH, Farooki ZQ, Green EW (1979) Surgical management of congenital vascular rings.J Thorac Cardiovasc Surg 77:721–727
Binet JP, Carpentier J, Pottemain M, Langlois J (1966) Double aortic arch associated with tetralogy of Fallot in infants: report of two cases.J Thorac Cardiovasc Surg 51:116–118
Bull C, Stark J (1982) Cardioplegia in paediatric cardiac surgery: repair in the first year of life. In: Engleman RM, Levitsky S (eds)A handbook of clinical cardioplegia. Futura, New York, pp 349–362
Castaneda AR, Lamberti J, Sade RM, Williams RG, Nadas AS (1974) Open-heart surgery during the first three months of life.J Thorac Cardiovasc Surg 68:719–731
Freedom RM, Rosen FS, Nadas AS (1972) Congenital cardiovascular disease and anomalies of the third and fourth pharyngeal pouch.Circulation 46:165–172
Hastreiter AR, D'Cruz IA, Cantez T (1966) Right sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies.Br Heart J 28:722–739
Jones CH, Walker JK (1955) Double aortic arch with report of a case.J Fac Radiol 6:281–286
Keith JD, Rowe R, Vlad P (1978)Heart disease in infancy and childhood, 3rd edn. Macmillan, New York, pp 856–881
Knight L, Edwards JE (1974) Right aortic arch, types and associated cardiac anomalies.Circulation 50:1047–1051
Lowe JB (1953) Angiocardiogram in Fallot's tetralogy.Br Heart J 15:319–329
Monro JL, Keeton BR, Sutherland GR, Edwards JC, Manners JM (1984) Fallot's tetralogy: a comparative study of correction in infancy and later [abstr].Br Heart J 51:682–683
Nikaido H, Riker WL, Idriss FS (1972) Surgical management of “vascular rings”.Arch Surg 105:327–333
Roesler M, De Leval M, Chrispin A, Stark J (1983) Surgical management of vascular rings.Ann Surg 197:139–145
Stewart JR, Kincaid OW, Edwards JE (1964)An atlas of vascular rings and related malformations of the aortic arch system. Charles C Thomas, Springfield ILA0946030 00010 CS-SPJRNPDF [HEADSUP]
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Virdi, I.S., Keeton, B.R., Shore, D.F. et al. Surgical management in tetralogy of Fallot and vascular ring. Pediatr Cardiol 8, 131–134 (1987). https://doi.org/10.1007/BF02079470
Issue Date:
DOI: https://doi.org/10.1007/BF02079470