Ahmed MF Ghoneim Author
Subjects of specialization
Affiliation
Tetralogy of Fallot, Pulmonary arteries
Ahmed MF Ghoneim, MD Professor and Chairman, Cardiothoracic Surgery Department, Faculty of Medicine, Assiut University, Assiut 71526, Egypt
Ahmed MF Ghoneim, MD
Professor and Chairman, Cardiothoracic Surgery Department, Faculty of Medicine, Assiut University, Assiut 71526, Egypt, one of his publications involves Surgical Management of Tetralogy of Fallot with Inadequate Size Pulmonary Artery Branches.
Research Article Subscription
Author(s): Ahmed MF Ghoneim*, Ahmed Farouk and Ahmed I Ismail
Background: Tetralogy of Fallot (TOF) with inadequate size pulmonary artery (PA) branches continues to be a problem in many developing countries due to late presentation. Surgical management is still debatable in clinical practice. Our aim is to review our experience with different surgical modalities for management of this subset of patients.
Methods: Between 2012 and 2018, out of 314 operations for TOF at our unit, there were 26 cases judged either pre-operatively or intraoperatively to have PA branches inadequate for total correction (McGoon’s ratio ≤ 1.5 or pulmonary branch size <-2 Z-value of expected size). Modified Blalock-Taussig shunt (MBTS) was done in 11 cases (shunt strategy). Open-heart surgery, involving going on cardio... view moreĀ»