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Higher Pulmonary Vein Index From Preoperative Computed Angiography & Good Surgical Resection Ensures A Smooth Post-Operative Recovery Sans Low Cardiac Output Syndrome in a TOF Child-Special Emphasis On Indices Of Evaluation, Monocusp Preparation.
  • +11
  • Vishal V. Bhende,
  • Tanishq S.Sharma,
  • Deepakkumar V. Mehta,
  • Krishnan Ganapathy Subramaniam,
  • Amit Kumar,
  • Jigar P. Thacker,
  • Bhadra Y. Trivedi,
  • Viral B. Patel,
  • Gurpreet Panesar,
  • Kunal Soni,
  • Kartik Dhami,
  • Hardil P. Majmudar,
  • Nirja Patel,
  • Sohilkhan R. Pathan
Vishal V. Bhende
Consultant,Pediatric Cardiac Surgery,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.

Corresponding Author:[email protected]

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Tanishq S.Sharma
Pediatric Cardiac Surgery,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.
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Deepakkumar V. Mehta
Professor & Head,Department of Radiodiagnosis & Imaging,Pramukhswami Medical College & Shree Krishna Hospital,Bhaikaka University,Karamsad,Anand,Gujarat -388 325,India
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Krishnan Ganapathy Subramaniam
Consultant,Cardiac Surgeon,MGM Healthcare,Aminjikarai,Chennai,India.
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Amit Kumar
Consultant,Pediatric Cardiac Intensivist,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.
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Jigar P. Thacker
Assistant Professor,Department of Pediatrics,Pramukhswami Medical College & Shree Krishna Hospital,Bhaikaka University,Karamsad,Anand,Gujarat - 388 325,India.
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Bhadra Y. Trivedi
Consultant,Pediatric Interventional Cardiologist,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Gujarat- 388 325,India.
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Viral B. Patel
Professor,Department of Radiodiagnosis & Imaging,Pramukhswami Medical College & Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India
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Gurpreet Panesar
Consultant,Cardiac Anaesthesiology,Bhanubhai and Madhubaen Patel Cardiac Centre,Shree Krishna Hospital,Anand,Gujarat-388 325,India.
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Kunal Soni
Consultant,Cardiac Anaesthesiology,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.
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Kartik Dhami
Consultant,Cardiac Anaesthesiology,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.
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Hardil P. Majmudar
Cardiac Surgery,Bhanubhai and Madhuben Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325
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Nirja Patel
Fellow,Cardiac Anaesthesiology,Bhanubhai and Madhuben Patel Cardiac Centre,Karamsad,Anand,Gujarat -388 325,India.
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Sohilkhan R. Pathan
Clinical Research Co-ordinator,Bhanubhai and Madhuben Patel Cardiac Centre,Shree Krishna Hospital,Karamsad,Anand,Gujarat-388 325,India.
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Abstract

Tetralogy of Fallot (TOF) is a common cyanotic congenital heart disease. Its surgical correction requires ventricular septal defect (VSD) closure and right ventricular outflow tract obstruction (RVOTO) relief, with transannular patch enlargement (TAPE) of the pulmonary valve. The first successful repair of TOF was reported in 1954 and consisted of closure of the VSD through a large right ventriculotomy, and RVOTO relief with TAPE of the pulmonary valve. To predict the intra-operative requirements and post-operative course of patients with this condition, various evaluation indices are available that can provide a good indication of patient prognosis. In this case report, we describe a novel pulmonary vein index (PVI) indicator that offers prognostic indications for pediatric cardiac patients who have undergone surgical correction of TOF.