Cardiology in the Young

Brief Report

Single-stage correction, with extensive pulmonary arterial reconstruction, of a pulmonary arterial sling associated with tetralogy of Fallot

Onur S. Goksela1 c1, Emin Tirelia1 and Ahmet Çelebia2

a1 Department Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey

a2 Department of Pediatric Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey

Abstract

Pulmonary arterial sling, rare in itself, is even rarer when associated with tetralogy of Fallot. Successful single-stage correction of this combination, with extensive pulmonary arterial reconstruction, has been reported only occasionally. We describe our experience with an 18 month-old girl, showing that extensive reconstruction of both the pulmonary arteries and the right ventricular outflow tract can permit single-stage correction in selected patients, resulting in favourable physiology and anatomy.

(Accepted June 07 2009)

(Online publication August 07 2009)

Correspondence:

c1 Correspondence to: Dr Onur S. Göksel, Istanbul University, Istanbul Medical Faculty, Department of Cardiovascular Surgery, CAPA, Aksaray, Istanbul, Turkey. Tel: +90 212 414 20 00; Fax: +90 216 349 91 20; E-mail: onurgokseljet@gmail.com

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