Images of Pediatric and Congenital Heart Disease

Tetralogy of Fallot With Absent Pulmonary Valve: Imaging With Today’s Diagnostic Tools

World Journal for Pediatric and Congenital Heart Surgery 4(3) 322-323 ª The Author(s) 2013 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/2150135113478638 pch.sagepub.com

Murat Ugurlucan, MD1, Ahmet Hulisi Arslan, MD1, Yahya Yildiz, MD1, Resmiye Tore Besikci, MD1, Oktay Karadeniz, MD1, and Sertac Cicek, MD1 Submitted January 06, 2013; Accepted January 21, 2013.

A 6-year-old male child was referred with a diagnosis of congenital heart disease. Echocardiography and cardiac catheterization showed tetralogy of Fallot with absent pulmonary valve. Computerized tomography, 3-dimensional tomography reconstruction, computerized tomography bronchography, and virtual bronchoscopy demonstrated aneurysms of the pulmonary trunk and the right and left pulmonary arteries,

with compression of the left main bronchus. The patient underwent uneventful surgical correction of the absent pulmonary valve syndrome with xenograft replacement of the pulmonary trunk and plication of the pulmonary artery branches. Postoperative control computerized tomography studies showed successful treatment and relief of the bronchial compression.

Figure 1. Three-dimensional (3D) reconstruction of the heart at the preoperative (left) and postoperative periods (right).

1

Anadolu Medical Center Hospital, Cardiovascular Surgery Clinic, Istanbul, Turkey.

Corresponding Author: Murat Ugurlucan, Anadolu Medical Center Hospital, Cardiovascular Surgery Clinic, Cumhuriyet Mahallesi, 2255 Sokak, No: 3, Gebze 41400, Kocaeli, Turkey. Email: [email protected]

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Ugurlucan et al

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Figure 2. Computerized tomography bronchography at the preoperative period indicating left main bronchus compression (left) and postoperative period showing the relief of the compression (right).

Figure 3. Virtual bronchography at the preoperative period indicating left main bronchus compression (left) and postoperative period showing the relief of the compression (right).

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Tetralogy of fallot with absent pulmonary valve: imaging with today's diagnostic tools.

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