Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-26T16:54:50.838Z Has data issue: false hasContentIssue false
  • English
  • Français

Total correction of tetralogy of Fallot with pulmonary atresia associated with an unusual aortopulmonary collateral artery

Published online by Cambridge University Press:  19 August 2008

Kazuhiro Hashimoto ,
Hiromi Kurosawa  and
Akira Tatara
Kazuhiro Hashimoto*
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
Hiromi Kurosawa
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
Akira Tatara
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
*
Dr. Kazuhiro Hashimoto, Department of Cardiovascular Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105. Japan. Tel. 81-33-433-1111, extension 3501; Fax. 81-33-435-1922.
Get access Rights & Permissions [Opens in a new window]

Summary

We report a patient with tetralogy of Fallot and pulmonary atresia who displayed an atypical aortopulmonary collateral artery extending from the ascending aorta to the pulmonary trunk. The internal thoracic artery, instead of the right subclavian artery (which was aberrant), was used as the source ofblood during unifocalization of the right pulmonary arteries to avoid the potential formation of a vascular ring. Unifocalization in the left lung was carried out by enlargement with a patch of the previously stenotic Blalock-Taussig shunt. The palliation set the scene for final intracardiac repair achieved one month after unifocalization of the right sides. The postoperative course was good and uneventful.

Keywords

Pulmonary atresia with ventricular septal defectunifocalizationmajor aortopulmonary collateral artery
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 73 - 75
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

Sawatari, K, Imai, Y, Kurosawa, H, Isomatsu, Y, Momma, K.Staged operation for pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries. New technique for complete unifocalization. J Thorac Cardiovasc Surg 1989; 98: 738–750.CrossRefGoogle ScholarPubMed
Puga, FJ, Leoni, FE, Julsrud, PR, Mair, DD.Complete repair of pulmonary atresia, ventricular septal defect, and severe peripheral arborization abnormalities of the central pulmonary arteries, Experience with preliminary unifocalization procedures in 38 patients. J Thorac Cardiovasc Surg 1989; 98: 1018–1029.CrossRefGoogle ScholarPubMed
Kurosawa, H, Imai, Y, Nakazawa, M, Momma, K, Takao, A.Conotruncal repair of tetralogy of Fallot. Ann Thorac Surg 1988; 45: 661–666.Google Scholar
Kurosawa, H, Imai, Y, Becker, AE.Surgical anatomy of the atrioventricular conduction bundle in tetralogy of Fallot. J Thorac Cardiovasc Surg 1988; 95: 586–591.CrossRefGoogle ScholarPubMed
Anderson, R, Macartney, F, Shinebourne, E, Tynan, M. Pulmonary atresia and ventricular septal defect. In: Paediatric Cardiology, Churchill Livingstone, Edinburgh, 1987, pp. 799–827.Google Scholar
Shore, DF, Ho, SY, Anderson, RH, de Leval, M, Lincoln, C.Aortopulmonary septal defect coexisting with ventricular septal defect and pulmonary atresia. Ann Thorac Surg 1983; 35: 132–137.CrossRefGoogle ScholarPubMed
Macartney, FJ, Scott, O, Deverall, PB.Haemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect -including a case of persistent fifth aortic arch. Br Heart J 1974; 36: 1049–1060.CrossRefGoogle Scholar
Gerlis, LM, Dickinson, DF, Wilson, N, Gibbs, JL.Persistent fifth aortic arch. A report of two new cases and a review of the literature. Int J Cardiol 1987; 16: 185–192.CrossRefGoogle Scholar
Gerlis, LM, Ho, SY, Anderson, RH, Costa, PD.Persistent 5th aortic arch-a great pretender: three new covert cases. Int J Cardiol 1989; 23: 239–247.Google ScholarPubMed
PahI, E, Fong, L, Anderson, RH, Park, SC, Zuberbuhler, JR.Fistulous communications between a solitary coronary artery and the pulmonary arteries as the primary source ofpulmonary blood supply in tetralogy of Fallot with pulmonary valve atresia. Am J Cardiol 1989; 63: 140–143.Google Scholar
Van Praagh, R, Van Praagh, S.Persistent fifth arterial arch in man. Congenital double-lumen aortic arch Am J Cardiol 1969; 24: 279–282.Google ScholarPubMed