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The Brock Procedure (closed infundibular resection) for Fallot's tetralogy: 43 years later

Published online by Cambridge University Press:  19 August 2008

L. M. Gerlis ,
C. E. T. Smith  and
J somerville
L. M. Gerlis*
Affiliation:
The Jane Somerville Grown-up Congenital Heart Unit, The Royal Brompton Hospital, London
C. E. T. Smith
Affiliation:
The Jane Somerville Grown-up Congenital Heart Unit, The Royal Brompton Hospital, London The Department of Histopathology, Frimley Park Hospital, Surrey, UK
J somerville
Affiliation:
The Jane Somerville Grown-up Congenital Heart Unit, The Royal Brompton Hospital, London
*
Dr L. M. Gerlis, Imperial College School of Medicine at The National Heart and Lung Institute, Dovehouse Street, London SW3 6LY, UK. Tel: 0171 351 8750, Fax: 0171 351 8230
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Abstract

Innovative cardiac surgery (‘blind’ or indirect infundibular resecion) for tetralogy of Fallot on a child of 4 years was followse by survial for 43 years without further surgery. The patinent remained well until about one year before death, when he developed clinical features of progressive biventricular failure associated with pulmonary hypertension and incompetence of the pulmonary and tricuspid value. Postmortem examination showed severe damage to one of the leaflets of the pulmonary valve, interpreted as due to indavertent avulsion during the original surgical procedure. A large ventricular septal defect was present but there was no residual subpulmonary infundibula obstruction

Keywords

Tetralogy of Fallotpulmonary hypertensionpulmonary valvar incompetenceclosed pulmonary infundibular resectionBrock procedure
Type
Clinico-pathological Correlations
Information
Cardiology in the Young , Volume 8 , Issue 3 , July 1998 , pp. 408 - 412
Copyright
Copyright © Cambridge University Press 1998

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References

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