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Right Ventricular Outflow Tract Stenting in a Low Birth Weight Infant Born With Tetralogy of Fallot and Prostaglandin E1 Dependency

  • Bang, Sun-Hee (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Ko, Hong-Ki (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Yu, Jeong-Jin (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Han, Myung-Ki (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Kim, Young-Hwue (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Ko, Jae-Kon (Department of Pediatrics, College of Medicine, University of Ulsan) ;
  • Park, In-Sook (Department of Pediatrics, College of Medicine, University of Ulsan)
  • Published : 2011.12.30

Abstract

Surgical skill and strategy for the correction of tetralogy of Fallot (TOF) have improved and resulted in satisfactory outcomes. However, prematurity and low birth weight continue to remain risk factors for poor outcomes. We present a case of a 2,150 g neonate born with TOF, in whom palliation was achieved with right ventricular outflow tract (RVOT) stenting. Seventy-seven days after the procedure, stenosis of RVOT below the stent was identified. At that time his body weight was 4.9 kg and total corrective surgery was deemed feasible. Eight months following surgical repair, the patient remained well without medical intervention. RVOT stenting may be a viable interim procedure while waiting for a low birth weight neonate born with TOF and prostaglandin E1 dependency to reach optimal weight to undergo corrective surgery.

Keywords

References

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  1. Repair and Follow-up of Tetralogy of Fallot with Pulmonary Stenosis : Tetralogy of Fallot with Pulmonary Stenosis vol.8, pp.2, 2013, https://doi.org/10.1111/chd.12042
  2. Transcatheter stenting of the right ventricular outflow tract augments pulmonary arterial growth in symptomatic infants with right ventricular outflow tract obstruction and hypercyanotic spells vol.26, pp.7, 2011, https://doi.org/10.1017/s1047951115002231
  3. Learning from a case of right ventricular outflow tract stenting in tricuspid atresia with critical pulmonary stenosis vol.30, pp.10, 2011, https://doi.org/10.1017/s1047951120002620