Research Article| Volume 106, ISSUE 1, P15-18, July 1963

The surgical management of pulmonary valve atresia

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      Isolated atresia of the pulmonary valve is a rare congenital malformation. Two types are recognized; one in which the right ventricle is small and its cavity slit-like in character, and another in which this ventricle is large. Pulmonary blood flow is dependent upon a patent ductus. If the lives of the infants are to be salvaged, the lesion must be diagnosed, and operation performed before the ductus closes.
      Pulmonary valvotomy is recommended when a large right ventricle is present. When this ventricle is small, a palliative superior vena cava to pulmonary artery anastomosis is advocated.
      Seven infants with pulmonary atresia are reported. Three died before operation could be undertaken and four had pulmonary valvotomy performed. Of these four, one died postoperatively and three survived to be discharged from hospital. One of these died at six months with reclosure of the pulmonary valve orifice; one died following a repeat operation; and the lone survivor at eighteen months continues to do well, but has some residual pulmonary stenosis.
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        • Keith J.D.
        • Rowe R.D.
        • Vlad P.
        Heart Disease in Infancy and Childhood.
        Macmillan Co, New York1958
        • Greenwold W.E.
        • Dushane J.W.
        • Burchell H.B.
        • Bruwer A.
        • Edwards J.E.
        Congenital pulmonary atresia with intact ventricular septum; two anatomic types.
        in: Proc. Twenty-ninth Sc. Sessions, Am. Heart Assoc.1956: 51 (abstract)
        • Glenn W.W.L.
        • Patiño J.F.
        Circulatory by-pass of the right heart. I. Preliminary observations on the direct delivery of vena caval blood into the pulmonary arterial circulation. Azygos vein-pulmonary artery shunt.
        Yale J. Biol. Med. 1954; 27: 147
        • Patiño J.F.
        • Glenn W.W.L.
        • Guilfoil P.H.
        • Hume M.
        • Fenn J.E.
        Circulatory by-pass of the right heart. II. Further observations on vena caval-pulmonary artery shunts.
        in: S. Forum. 6. 1956: 189
        • Nuland S.B.
        • Glenn W.W.L.
        • Guilfoil P.H.
        Circulatory by-pass of the right heart. III. Some observations on the long-term survivors.
        Surgery. 1958; 43: 184
        • Glenn W.W.L.
        Circulatory by-pass of the right heart. IV. Shunt between superior vena cava and distal right pulmonary artery; report of clinical application.
        New England J. Med. 1958; 259: 117
        • Cumming G.R.
        • Ferguson C.C.
        • Briggs J.N.
        • Brownell E.G.
        Tricuspid atresia—treatment by superior vena cava-pulmonary artery anastomosis.
        J. Thor. Cardiov. Surg. 1960; 40: 31