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Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases

One-stage total correction is known to be anatomically unsuitable for correcting tetralogy of fallot (TOF) in a certain proportion of children. Surgeons are thus faced with dilemmas regarding which preliminary operation for the anomaly to do first. Brock's primary postulation suggests that pulm...

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Autores principales: Bhende, Vishal V, Sharma, Tanishq S, Subramaniam, Krishnan Ganapathy, Mehta, Deepakkumar V, Thacker, Jigar P, Sharma, Ashwin S, Kumar, Amit, Panesar, Gurpreet, Soni, Kunal A, Dhami, Kartik B, Patel, Nirja, Majmudar, Hardil P, Pathan, Sohilkhan R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199461/
https://www.ncbi.nlm.nih.gov/pubmed/37216134
http://dx.doi.org/10.7759/cureus.39255
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author Bhende, Vishal V
Sharma, Tanishq S
Subramaniam, Krishnan Ganapathy
Mehta, Deepakkumar V
Thacker, Jigar P
Sharma, Ashwin S
Kumar, Amit
Panesar, Gurpreet
Soni, Kunal A
Dhami, Kartik B
Patel, Nirja
Majmudar, Hardil P
Pathan, Sohilkhan R
author_facet Bhende, Vishal V
Sharma, Tanishq S
Subramaniam, Krishnan Ganapathy
Mehta, Deepakkumar V
Thacker, Jigar P
Sharma, Ashwin S
Kumar, Amit
Panesar, Gurpreet
Soni, Kunal A
Dhami, Kartik B
Patel, Nirja
Majmudar, Hardil P
Pathan, Sohilkhan R
author_sort Bhende, Vishal V
collection PubMed
description One-stage total correction is known to be anatomically unsuitable for correcting tetralogy of fallot (TOF) in a certain proportion of children. Surgeons are thus faced with dilemmas regarding which preliminary operation for the anomaly to do first. Brock's primary postulation suggests that pulmonary trunk and annulus enlargement leading to the correction of the outflow obstruction will favor the subsequent total correction. In line with this, the current article presents two patients who were 6 months and 5 years old. The first patient underwent primary Brock's operation while the second patient had a blocked modified Blalock-Taussig's shunt (MBTS) done off-pump. Following the discontinuation of anti-platelet medications, the MBTS blocked and the patient was subsequently considered for secondary Brock’s operation. The outcome of both procedures involved the patients’ discharge with uneventful hospital stays and regular follow-ups at specified intervals. Thus, Brock's operation is an excellent preliminary palliative procedure for one-stage total correction of TOF. There is a need to revive 'Brock's procedure' for patients with TOF and poor pulmonary artery anatomy as the procedure of choice. The first direct intra-cardiac operation aimed at directly addressing the pathological anatomy on its Diamond Jubilee Year.
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spelling pubmed-101994612023-05-21 Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases Bhende, Vishal V Sharma, Tanishq S Subramaniam, Krishnan Ganapathy Mehta, Deepakkumar V Thacker, Jigar P Sharma, Ashwin S Kumar, Amit Panesar, Gurpreet Soni, Kunal A Dhami, Kartik B Patel, Nirja Majmudar, Hardil P Pathan, Sohilkhan R Cureus Cardiac/Thoracic/Vascular Surgery One-stage total correction is known to be anatomically unsuitable for correcting tetralogy of fallot (TOF) in a certain proportion of children. Surgeons are thus faced with dilemmas regarding which preliminary operation for the anomaly to do first. Brock's primary postulation suggests that pulmonary trunk and annulus enlargement leading to the correction of the outflow obstruction will favor the subsequent total correction. In line with this, the current article presents two patients who were 6 months and 5 years old. The first patient underwent primary Brock's operation while the second patient had a blocked modified Blalock-Taussig's shunt (MBTS) done off-pump. Following the discontinuation of anti-platelet medications, the MBTS blocked and the patient was subsequently considered for secondary Brock’s operation. The outcome of both procedures involved the patients’ discharge with uneventful hospital stays and regular follow-ups at specified intervals. Thus, Brock's operation is an excellent preliminary palliative procedure for one-stage total correction of TOF. There is a need to revive 'Brock's procedure' for patients with TOF and poor pulmonary artery anatomy as the procedure of choice. The first direct intra-cardiac operation aimed at directly addressing the pathological anatomy on its Diamond Jubilee Year. Cureus 2023-05-20 /pmc/articles/PMC10199461/ /pubmed/37216134 http://dx.doi.org/10.7759/cureus.39255 Text en Copyright © 2023, Bhende et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Bhende, Vishal V
Sharma, Tanishq S
Subramaniam, Krishnan Ganapathy
Mehta, Deepakkumar V
Thacker, Jigar P
Sharma, Ashwin S
Kumar, Amit
Panesar, Gurpreet
Soni, Kunal A
Dhami, Kartik B
Patel, Nirja
Majmudar, Hardil P
Pathan, Sohilkhan R
Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title_full Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title_fullStr Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title_full_unstemmed Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title_short Revival of Brock's Operation for Intermediary Palliation of Fallot's Tetralogy in Children Anatomically Unsuitable for One-Stage Total Correction of the Anomaly: Interim Results of Two Cases
title_sort revival of brock's operation for intermediary palliation of fallot's tetralogy in children anatomically unsuitable for one-stage total correction of the anomaly: interim results of two cases
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199461/
https://www.ncbi.nlm.nih.gov/pubmed/37216134
http://dx.doi.org/10.7759/cureus.39255
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