Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-27T06:54:07.576Z Has data issue: false hasContentIssue false
  • English
  • Français

Tetralogy of Fallot with congenital diaphragmatic hernia and left lung hypoplasia: assessment of the adequacy of the peripheral pulmonary vascular growth after hernia repair

Published online by Cambridge University Press:  15 September 2011

Hong Ju Shin ,
Won Kyoung Jhang  and
Tae Jin Yun
Hong Ju Shin
Affiliation:
Cardiovascular Surgery, Konkuk University Medical Center, University of Ulsan, Seoul, South Korea
Won Kyoung Jhang
Affiliation:
Pediatric Cardiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea
Tae Jin Yun*
Affiliation:
Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea
*
Correspondence to: Dr T.-J. Yun, MD, PhD, Divisional Head, Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan, 388-1 Pungnap-dong Songpa-gu, Seoul 138-736, South Korea. Tel: +82 2 3010 3589; Fax: +82 2 3010 6811; E-mail: tjyun@amc.seoul.kr
Get access Rights & Permissions [Opens in a new window]

Abstract

Congenital diaphragmatic hernia is a life-threatening condition frequently associated with various congenital cardiac diseases. In congenital diaphragmatic hernia associated with tetralogy of Fallot, central pulmonary artery size of the affected side may not reflect the capacitance of peripheral pulmonary vascular beds. We report a case of congenital diaphragmatic hernia associated with tetralogy of Fallot, which was repaired after assessing the adequacy of the pulmonary vascular beds by intra-operative pulmonary blood flow study.

Keywords

Congenital cardiac diseasecardiac surgerycongenital diaphragmatic hernia
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 2 , 02 March 2012 , pp. 235 - 238
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Graziano, JN, Congenital Diaphragmatic Hernia Study Group. Cardiac anomalies with congenital diaphragmatic hernia and their prognosis: a report from the congenital diaphragmatic hernia study group. J Pediatr Surg 2005; 40: 1045–1049.CrossRefGoogle ScholarPubMed
2.Cohen, MS, Rychik, J, Bush, DM, et al. Influence of congenital heart disease on survival in children with congenital diaphragmatic hernia. J Pediatr 2002; 141: 25–30.CrossRefGoogle ScholarPubMed
3.Hayward, MJ, Kharasch, V, Sheils, C, et al. Predicting inadequate long-term lung development in children with congenital diaphragmatic hernia: an analysis of longitudinal changes in ventilation and perfusion. J Pediatr Surg 2007; 42: 112–116.CrossRefGoogle ScholarPubMed
4.Honjo, O, Al-Radi, OO, MacDonald, C, et al. The functional intraoperative pulmonary blood flow study is a more sensitive predictor than preoperative anatomy for right ventricular pressure and physiologic tolerance of ventricular septal defect closure after complete unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collaterals. Circulation 2009; 120: S46–S52.CrossRefGoogle Scholar
5.Reddy, VM, Petrossian, E, McElhinney, DB, Moore, P, Teitel, DF, Hanley, FL. One-stage complete unifocalization in infants: when should the ventricular septal defect be closed? J Thorac Cardiovasc Surg 1997; 113: 858–868.CrossRefGoogle ScholarPubMed
6.Peetsold, MG, Heij, HA, Kneepkens, CMF, Nagelkerke, AF, Huisman, J, Gemke, RJBJ. The long-term follow-up of patients with a congenital diaphragmatic hernia: a broad spectrum of morbidity. Pediatr Surg Int 2009; 25: 1–17.CrossRefGoogle ScholarPubMed
7.Huez, S, Brimioulle, S, Naeije, R, Vachiery, JL. Feasibility of routine pulmonary arterial impedance measurements in pulmonary hypertension. Chest 2004; 125: 2121–2128.CrossRefGoogle ScholarPubMed
8.Weinberg, CE, Hertzberg, JR, Ivy, DD, et al. Extraction of pulmonary vascular compliance, pulmonary vascular resistance, and right ventricular work from single-pressure and doppler flow measurements in children with pulmonary hypertension: a new method for evaluating reactivity – in vitro and clinical study. Circulation 2004; 110: 2609–2617.CrossRefGoogle Scholar
9.Senzaki, H, Isoda, T, Ishzawa, A, Hishi, T. Reconsideration of criteria for the Fontan operation: influence of pulmonary artery size on postoperative hemodynamics of the Fontan operation. Circulation 1994; 89: 1196–1202.CrossRefGoogle ScholarPubMed
10.Kitagawa, T, Hori, T, Chikugo, F, et al. Direct intraoperative measurement of aortic and pulmonary blood flows in patients with severe pulmonary artery hypertension. J Cardiovasc Surg 2000; 41: 683–689.Google ScholarPubMed