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A case of reoperation 24 years after repair of absent pulmonary valve syndrome with anomalous origin of the left pulmonary artery

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Abstract

We experienced a case of a 38-year-old woman with a persistent cough, 24 years after repair of absent pulmonary valve syndrome with anomalous origin of the left pulmonary artery. The right pulmonary artery was massively dilated, thus it caused the compression of the bronchi, whitch was thought to result in her respiratory symptom. This dilatation of the right pulmonary artery seemed to have progressed because of the following two reasons. The first is the pulmonary hypertension caused by the late reconstruction of the left pulmonary artery. The second is residual pulmonary stenosis and regurgitation after the initial operation without a pulmonary valve insertion. We performed a reoperation consisting of reconstruction of the right ventricular outflow tract using a valved conduit and plication of the right pulmonary artery. Her postoperative course has been without any complications and satisfactory for the past 2 years.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima, Tokushima, Japan

    Fumio Chikugo, Tetsuya Kitagawa, Takaki Hori, Yutaka Masuda, Tomohisa Kawahito & Itsuo Katoh

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  1. Fumio Chikugo
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  2. Tetsuya Kitagawa
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  3. Takaki Hori
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  4. Yutaka Masuda
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  5. Tomohisa Kawahito
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  6. Itsuo Katoh
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Chikugo, F., Kitagawa, T., Hori, T. et al. A case of reoperation 24 years after repair of absent pulmonary valve syndrome with anomalous origin of the left pulmonary artery. Jpn J Thorac Caridovasc Surg 46, 1329–1333 (1998). https://doi.org/10.1007/BF03217924

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  • DOI: https://doi.org/10.1007/BF03217924

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