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Case Report
may occur and are poorly tolerated. We feel a hybrid approach provides the most direct route to the RVOT with the least hemodynamic instability, providing concurrent angiography through the delivery sheath to facilitate optimal stent position. This small (n = 4) case series may not provide su cient experience to support a perventricular approach as  rst-line for all infants ≤ 2 kg requiring RVOT stenting. However, early conversion to this approach should be considered in those infants who do not tolerate attempts at percu- taneous stent delivery.
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The authors have no con ict of interest relevant to this publication.
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References
1. Gladman G, McCrindle BW, Williams WG, Freedom RM, Benson LN. The modi ed Blalock-Tausig shunt: clinical impact and morbidity in Fallot’s tetralogy in the current era. J Thorac Cardiovasc Surg. 1997;114:25- 30. DOI: 10.1016/S0022-5223(97)70113-2
2. Alwi M, Choo KK, Lati  HA, Kandavello G, Samion H, Mulyadi MD. Initial results and medium-term follow-up of stent im- plantation in patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiology. 2004;44:438-445. DOI: 10.1016/j.jacc.2004.03.066
3. Kim G, Ban GH, Lee HD, Sung SC, Kim H, Choi KH. E ects of balloon pulmonary valvuloplasty as preoperative palliation for Tetralogy of Fallot. Congenit Heart Dis. 2016;11:315-322. DOI: 10.1111/chd.12388
4. Gibbs JL, Uzun O, Blackburn ME, Parsons JM, Dickinson DF. Right ventricular out ow stent implantation: an alternative to pal- liative surgical relief of infundibular pul- monary stenosis. Heart. 1997;77:176-179. PMID: 9068404
5. Stumper O, Ramchandani B, Noonan P, Me- hta C, Bhole V, Reinhardt Z, et al. Stenting of the right ventricular out ow tract. Heart. 2013;99:1603-1608. DOI: 10.1136/heart- jnl-2013-304155
6. Quandt D, Ramchandani B, Penford G, Stickley J, Bhole V, Mehta C, et al. Right ventricular out ow tract stent versus BT shunt palliation in Tetralogy of Fallot. Heart. 2017;103:1985-1991. DOI: 10.1136/ heartjnl-2016-310620
7. Cools B, Bosho  D, Heying R, Rega F, Meyns B, Gewilli M. Transventricular balloon di- lation and stenting of the RVOT in small infants with tetralogy of fallot with pul- monary atresia. Cathet Cardiovasc Interv.
2013;82:260-265. DOI: 10.1002/ccd.24548 8. Laudito A, Bandisode VM, Lucas JF, Radtke WA, Adamson WT, Bradley SM. Right ven- tricular out ow tract stent as a bridge to surgery in a premature infant with tetralo- gy of Fallot. Ann Thorac Surg. 2006;81:744- 746. DOI: 10.1016/j.athoracsur.2004.10.068 9. Dohlen G, Chaturvedi RR, Benson LN, Oza- wa A, Van Arsdell GS, Fruitman DS, et al. Stenting of the right ventricular out ow tract in the symptomatic infant with tetral- ogy of Fallot. Heart. 2009;95:142-147. DOI:
10.1136/hrt.2007.135723
10. Zampi JD, Armstrong AK, Hirsch-Roma- no, JC. Hybrid perventricular pulmonary valve perforation and right ventricular out ow stent placement. World J Ped Congenit Heart Surg. 2014;5:338-341. DOI: 10.1177/2150135113512136
11. Remadevi KS, Vaidyanathan B, Francis E, Kannan BRJ, Kumar RK. Balloon pulmo- nary valvotomy as interim palliation for symptomatic young infants with tetralogy of Fallot. Ann Ped Cardiol. 2008;1:2-7. DOI: https://doi.org/10.4103/0974-2069.41049
12. Qureshi SA, Kirk CR, Lamb RK, Arnold R, Wilkinson JR. Balloon dilatation of the pulmonary valve in the  rst year of life in patients with tetralogy of Fallot: a prelim- inary study. Heart. 1988;60:232-235. PMID: 3179140
13. Sluysmans T, Neven B, Rubay J, Lintermans J, Ovaert C, Mucumbitsi J, et al. Early bal- loon dilatation of the pulmonary valve in infants with Tetralogy of Fallot. Circula- tion. 1995;91:1506-1511. DOI: 10.1161/01. CIR.91.5.1506
14. Backes CH, Cua C, Kreutzer J, Armsby L, El- Said H, Moore JW, et al. Low weight as an independent risk factor for adverse events
during cardiac catheterization of infants. Cathet Cardiovasc Intervent. 2013;82:786- 794. DOI: 10.1002/ccd.24726
15. Anderson AW, Smith PB, Corey KM, Hill KD, Zimmerman KO, Clark RH, et al. Clinical outcomes in very low birth weight infants with major congenital heart defects. Early Hum Dev. 2014;90:791-795. DOI: 10.1016/j. earlhumdev.2014.09.006
16. Schure AY. Cardiopulmonary bypass in infants and children: what’s new? S Afr J Anaesthesia Analg. 2010;16:25-27. DOI: 10.1080/22201173.2010.10872628
17. Chang AC, Hanley FL, Lock JE, Castaneda AR, Wessel DL. Management and outcome of low birth weight neonates with congen- ital heart disease. J Pediatr. 1994;124:461- 466. PMID: 8120722
18. Reddy VM, McElhinney DB, Sagrado T, Par- ry AJ, Teitel DF, Hanley FL. Results of 102 cases of complete repair of congenital heart defects in patients weighing 700 to 2500 grams. J Thorac Cardiovasc Surg. 1999;117:324-331. DOI: 10.1016/S0022- 5223(99)70430-7
19. Di Donato RM, Jonas RA, Lang P, Rome JJ, Mayer JE Jr, Castaneda AR. Neonatal repair of tetralogy of Fallot with and without pul- monary atresia. J Thorac Cardiovasc Surg. 1991;101:126-137. PMID: 1986154
Linnane N. et al.
RVOT Stenting in Small Infants
Cite this article as: Linnane N, Walsh KP, McGuinness J, Kenny D. Evolution of Approach to Right Ventricular Out-  ow Tract Stenting in Infants ≤ 2Kgs. Structural Heart Disease. 2018;4(2):50- 55. DOI: https://doi.org/10.12945/j. jshd.2018.045.17


































































































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