[Necrotizing tracheobronchitis following radical repair in tetralogy of Fallot with absent pulmonary valve--a case report].

A 3-month-old infant with tetralogy of Fallot and absent pulmonary valve developed necrotizing tracheobronchitis following a radical repair. Right ventricular reconstruction using an equine pericardial valved conduit and plication of the main pulmonary arteries relieved compression of the left main bronchus by the dilated pulmonary artery. However, respiratory distress increased when bronchitis developed. Eventually, both main stem bronchi became stenotic secondary to inflammation, and the patient died 154 days following surgery. Necrotizing tracheobronchitis is a potentially lethal complication in patients with tetralogy of Fallot and absent pulmonary valve.