CASE REPORT
Endovascular Surgery
doi: 10.25005/2074-0581-2024-26-2-346-354
MULTI-STAGE TREATMENT OF TETRALOGY OF FALLOT: FROM PALLIATIVE INTERVENTIONS TO HYBRID Y-STENTING OF THE PULMONARY ARTERY BIFURCATION STENOSIS AND RADICAL CORRECTION (CLINICAL CASE)

F.M. DADABAEV1, K.V. PETROSYAN1,2, A.I. KIM3, A.A. SOBOLEV1, E.V. TOKAREVA1, E.Z. GOLUKHOVA4,5

1Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
2Department of X-ray Endovascular Methods of Diagnosis and Treatment, Institute of Higher Qualification Personnel Training and Professional Education, Moscow, Russian Federation
3Department of Cardiac Surgery of Newborns and Infants, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
4A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
5Department of Cardiology, Functional and Ultrasound Diagnostics with a Course in Pediatric Cardiology, Institute for Higher Qualification Personnel Training and Professional Education, Moscow, Russian Federation

Primary radical correction of tetralogy of Fallot (ToF) is an optimal surgical option; however, in some conditions, in particular with concomitant extracardiac pathology and hypoplasia of the pulmonary artery (PA) branches, this intervention is not possible. Obstruction and/or hypoplasia of the PA is one of the risk factors for primary radical correction of this congenital heart defect (CHD). In world practice, there are several methods of palliative approach for PA growth with the possibility of further radical correction. However, in some cases, palliative approaches do not give the desired result. In this regard, we present a clinical case of a successful hybrid bifurcation Y-stenting of the PA and radical correction of ToF.

Keywords: Tetralogy of Fallot, radical correction, branches of the pulmonary artery, hypoplasia, stenting of the branches of the pulmonary artery, bifurcation Y-stenting, clinical case.

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References
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Authors' information:

Dadabaev Farkhodzhon Muratovich,
Postgraduate Student, Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery
ORCID ID: 0000-0002-2736-3720
E-mail: fagik@mail.ru

Petrosyan Karen Valerievich,
Doctor of Medical Sciences, Head of the Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery; Head of the Department of X-ray Endovascular Methods of Diagnosis and Treatment, Institute of Higher Qualification Personnel Training and Professional Education
ORCID ID: 0000-0002-3370-0295
E-mail: dr.petrosian@gmail.com

Kim Aleksey Ivanovich,
Doctor of Medical Sciences, Full Professor, Deputy Director for Medical Work with Infants and Young Children, Head of the Department of Cardiac Surgery of Newborns and Infants, A.N.Bakulev National Medical Research Center for Cardiovascular Surgery
ORCID ID: 0000-0002-1759-9895
E-mail: aikim@bakulev.ru

Sobolev Andrey Vasilievich,
Candidate of Medical Sciences, Leading Researcher, Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery
ORCID ID: 0000-0002-0186-8165
E-mail: Sobolev-moscow@mail.ru

Tokareva Elizaveta Vyacheslavovna,
Postgraduate Student, Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery
ORCID ID: 0009-0004-5954-2821
E-mail: tokareva.elis@gmail.com

Golukhova Elena Zelikovna,
Academician ofthe RAS, Doctor of Medical Sciences, Full Professor, Director of A.N. Bakulev National Medical Research Center for Cardiovascular Surgery; Head of the Department of Cardiology, Functional and Ultrasound Diagnostics with a Course in Pediatric Cardiology, Institute for Higher Qualification Personnel Training and Professional Education
ORCID ID: 0000-0002-6252-0322
E-mail: egolukhova@yahoo.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipmentt

Conflicts of interest: No conflict

Address for correspondence:

Dadabaev Farkhodzhon Muratovich
Postgraduate Student, Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery

121552, Russian Federation, Moscow, Rublyovskoe shosse, 135

Tel.: +7 (985) 5533103

E-mail: fagik@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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