Right Ventricular Outflow Tract Stent as a Bridge to Surgery in a Premature Infant with Tetralogy of Fallot

• Published in: The Annals of thoracic surgery Vol. 81; no. 2; pp. 744 - 746
• Main Authors: Laudito, Antonio, Bandisode, Varsha M., Lucas, Jon F., Radtke, Wolfgang A., Adamson, William T., Bradley, Scott M.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-02-2006; Elsevier Science
• Subjects: Biological and medical sciences; Cardiology. Vascular system; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava; Heart; Heart Ventricles; Humans; Infant, Newborn; Infant, Premature; Medical sciences; Palliative Care; Stents; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; Tetralogy of Fallot - surgery; 21; Human; Premature; Endoprosthesis; Respiratory disease; Right ventricle; Instrumentation therapy; Cardiovascular disease; Infant; Thorax; Congenital disease; Stent; Bridges; Heart disease; Surgery; Fallot tetralogy
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2004.10.068

Despite dramatic progress in neonatal cardiac surgery, prematurity and low birth weight remain risk factors for poor outcome. Attempts to delay intervention with supportive therapy have been shown to increase morbidity and mortality. We present a case of an 840 gram, 28-week gestation newborn with tetralogy of Fallot, in whom palliation was achieved with a right ventricular outflow tract stent. This management allowed subsequent successful complete repair.