{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:18:47Z","timestamp":1792037927728,"version":"4.4.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Only a limited number of studies have reported on TOF with absent pulmonary valve (APV). Similarly, while cases of TOF with absent pulmonary artery (PA) have been documented, case reports describing TOF with both APV and absent PA are extremely rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>The present study investiged the case of a 1-year-old girl born at term with no initial clinical or physical signs of cyanosis. A subtle additional heart murmur detected during routine examination prompted referral to a cardiologist. Subsequent echocardiography and computed tomography (CT) angiography confirmed TOF with APV and absence of the left pulmonary artery (LPA). The patient later underwent corrective surgery, including pulmonary valve reconstruction and pulmonary artery plication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although TOF is a common cyanotic congenital heart disease, certain variants of TOF, such as TOF with APV and absent LPA, may present without the typical cyanotic or respiratory symptoms. Therefore, even the slightest additional heart murmur should be thoroughly investigated. While clinical examination, arterial oxygenation, and echocardiography are essential, definitive diagnosis and precise anatomical characterization ultimately require CT angiography.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s43044-025-00712-5","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:55:47Z","timestamp":1767948947000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An extremely rare tetralogy of Fallot with absent pulmonary valve and unilateral absence of the pulmonary artery: a rare report of De Bucket Syndrome"],"prefix":"10.1186","volume":"78","author":[{"given":"Amirhossein","family":"Jalali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Mahdavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Ganjifard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Salaheddin","family":"Nabavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Bakhtiari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Ansari Aval","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyyed Ebrahim","family":"Hosseini Zargaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"712_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12872-021-01877-y","volume":"21","author":"M Edraki","year":"2021","unstructured":"Edraki M, Ghasemzadeh B, Keshavarz K, Amirghofran A, Mohammadi H, Kheirandish Z, Amoozgar H, Nirooei E, Ajami G, Mehdizadegan N, Naghshzan A (2021) Hidden pulmonary arteries in tetralogy of fallot and pulmonary artery pressure in patients operated with a pulmonary artery. BMC Cardiovasc Disord 21:1\u20139","journal-title":"BMC Cardiovasc Disord"},{"issue":"6","key":"712_CR2","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1007\/s12055-022-01393-4","volume":"38","author":"A Katewa","year":"2022","unstructured":"Katewa A, Saxena S, Malhotra P, Rajesh VS, Champaneri B, Surti J (2022) Unilateral absence of pulmonary artery with absent pulmonary valve in tetralogy of fallot. Indian J Thorac Cardiovasc Surg 38(6):637\u2013643","journal-title":"Indian J Thorac Cardiovasc Surg"},{"issue":"1","key":"712_CR3","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1186\/s13019-024-02534-z","volume":"19","author":"C Mu","year":"2024","unstructured":"Mu C, Zhao M, Ma R, Li X, Liu M, Deng Y (2024) A rare case of a neonate with fallot-type absent pulmonary valve and occlusion of the left main bronchus. J Cardiothorac Surg 19(1):61","journal-title":"J Cardiothorac Surg"},{"issue":"2","key":"712_CR4","doi-asserted-by":"publisher","first-page":"ivac193","DOI":"10.1093\/icvts\/ivac193","volume":"35","author":"V Avdikos","year":"2022","unstructured":"Avdikos V, Johansson Ramgren J, Hans\u00e9us K, Malm T, Liuba P (2022) Outcomes following surgical repair of absent pulmonary valve syndrome: 30 years of experience from a Swedish tertiary referral centre. Interact Cardiovasc Thorac Surg 35(2):ivac193","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"712_CR5","doi-asserted-by":"publisher","first-page":"10","DOI":"10.4103\/ijamr.ijamr_281_23","volume":"11","author":"B Majumder","year":"2024","unstructured":"Majumder B, Chakraborty S, Roy R, Sarkar S, Ghosh R (2024) Tetralogy of Fallot with absent pulmonary valve: a single-center experience. Int J Adv Med Health Res 11:10\u20134103","journal-title":"Int J Adv Med Health Res"},{"issue":"1","key":"712_CR6","doi-asserted-by":"publisher","first-page":"12","DOI":"10.2399\/prn.23.0311003","volume":"31","author":"G Bolluk","year":"2023","unstructured":"Bolluk G, O\u011flak SC, \u00d6zdemir \u00d6, Bornaun H (2023) Prenatal diagnosis of tetralogy of fallot with an absent pulmonary valve: is this malformation still associated with a poor prognosis? A 5-year single-center experience. Perinat J 31(1):12\u201317","journal-title":"Perinat J"},{"issue":"3","key":"712_CR7","first-page":"18","volume":"2014","author":"A Nawara","year":"2014","unstructured":"Nawara A, Radzymi\u0144ska-Chru\u015bciel B, Respondek-Liberska M, Januszewska K, Malec E (2014) First trimester diagnosis of absent pulmonary valve (APV): a case report of prenatal treatment with a review of literature and data from the Polish National registry of fetal cardiac pathology. Prenatal Cardiol 2014(3):18\u201322","journal-title":"Prenatal Cardiol"},{"issue":"10","key":"712_CR8","volume":"14","author":"RY Eletta","year":"2022","unstructured":"Eletta RY, Idris I, Pandey A, Gannarapu S, Evbayekha EO (2022) Tetralogy of fallot with absent left pulmonary artery in a patient who passed critical congenital heart disease screening. Cureus 14(10):e30604","journal-title":"Cureus"},{"issue":"5","key":"712_CR9","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1177\/0218492318805922","volume":"27","author":"A Sadeghpour Tabaie","year":"2019","unstructured":"Sadeghpour Tabaie A, Behjati M, Mortezaeian H, Pouraliakbar HR, Ghadrdoost B, Baharestani B (2019) Surgical management of iatrogenic occluded left pulmonary artery. 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