Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-05-13T05:55:14.151Z Has data issue: false hasContentIssue false

Selective coronary angiography in tetralogy of Fallot

Published online by Cambridge University Press:  19 August 2008

Satyavan Sharma*
Affiliation:
From the Department of Cardiology, B Y L Nair Hospital, Bombay
Usha Sundaram
Affiliation:
From the Department of Cardiology, B Y L Nair Hospital, Bombay
Yunus Loya
Affiliation:
From the Department of Cardiology, B Y L Nair Hospital, Bombay
Dhruman Desai
Affiliation:
From the Department of Cardiology, B Y L Nair Hospital, Bombay
*
Dr. Satyavan Sharma, Professor & Head of Cardiology, B Y L Nair Hospital, Bombay-400 008, India, Tel. (022) 4932827, (022) 3081491.

Summary

Selective coronary angiography was performed in 110 cases (aged 1–45 years) of tetralogy of Fallot. Anomalies of surgical importance were seen in 26 cases (23.6%). In 17 (15.4%) these anomalies existed alone, and in nine (8.2%) they coexisted with relatively minor anomalies. Isolated minor anomalies involving the terminal branches existed in 15 cases (13.6%). The coronary arterial anatomy was normal in the other 69 (62.7%) cases. Our study shows that coronary angiography can safely be performed in patients with tetralogy of Fallot, providing the surgeon with vital information for subsequent planning of the time and type of surgery required.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fellows, KE, Freed, MD, Keane, JF, Van Praagh, R, Bernhard, WF, Castañeda, AC.Results of routine preoperative coronary angiography in tetralogy of Fallot. Circulation 1975; 51: 561566.Google Scholar
Berry, E, McGoon, DC.Total correction for tetralogy of Fallot with anomalous coronary artery. Surgery 1973; 74: 894898.Google Scholar
Dabizzi, RP, Caprioli, G, Aiazzi, L, Castelli, C, Baldrighi, G.Distribution and anomalies of coronaries in tetralogy of Fallot. Circulation 1980; 61: 95102.Google Scholar
Parenzan, L, Baldrighi, V, Baldrighi, G, Locatelli, G, DeGeest, R, Villani, M. Selective coronary angiograms in congenital heart disease. In: Becker, AE, Losekoot, G, Marcelletti, C, Anderson, RH (eds). Pediatric Cardiology (Volume 3), Churchill Livingstone, Edinburgh, 1981, pp 278289.Google Scholar
Meng, CCL, Eckner, FAO, Lev, M.Coronary artery distribution in tetralogy of Fallot. Arch Surgery 1965; 90: 363366.Google Scholar
Srivastava, S, Mohan, JC, Mukhopadhyay, S, Rajani, M, Tandon, R.Coronary artery anomalies in tetralogy of Fallot. Cardiovasc Interven Radiol 1987; 10: 215221.Google Scholar
Humes, RA, Driscoll, DJ, Danielson, GK.Tetralogy of Fallot with anomalous origin of left anterior descending artery. J Thorac Cardiovasc Surg 1987, 94: 784790.Google Scholar
White, RI, Frech, RS, Castenada, A, Amplatz, K.The nature and significance of anomalous coronary arteries in tetralogy of Fallot. Am J Roentgenol Rad Ther Nucl Med 1976; 114:350354.Google Scholar
McManus, BM, Waller, BF, Jones, M, Epstein, SE, Roberts, WC.The case for preoperative coronary angiography in patients with tetralogy of Fallot and other complex congenital heart diseases. Am Heart J 1982; 103: 451456.Google Scholar
Berry, JM, Einzig, S, Krabill, KA, Bass, JL.Evaluation of coronary artery anatomy in patients with tetralogy of Fallot by two dimensional echocardiography. Circulation 1988; 78: 149156.Google Scholar