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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.
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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

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References

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