Pulmonary reinterventions after complete unifocalization and repair in infants and young children with tetralogy of Fallot with major aortopulmonary collaterals

Our institutional approach to tetralogy of Fallot (TOF) with major aortopulmonary collaterals (MAPCAs) emphasizes unifocalization and augmentation of the reconstructed pulmonary arterial (PA) circulation and complete intracardiac repair in infancy, usually in a single procedure. This approach yields...

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Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 2018-04, Vol.155 (4), p.1696-1707
Main Authors: Bauser-Heaton, Holly, Borquez, Alejandro, Asija, Ritu, Wise-Faberowski, Lisa, Zhang, Yulin, Downey, Laura, Perry, Stanton B., Koth, Andrew, Peng, Lynn F., Algaze, Claudia A., Hanley, Frank L., McElhinney, Doff B.
Format: Article
Language:English
Subjects:
balloon angioplasty
pulmonary artery
pulmonary atresia
tetralogy of Fallot
transcatheter pulmonary valve replacement
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Summary:Our institutional approach to tetralogy of Fallot (TOF) with major aortopulmonary collaterals (MAPCAs) emphasizes unifocalization and augmentation of the reconstructed pulmonary arterial (PA) circulation and complete intracardiac repair in infancy, usually in a single procedure. This approach yields a high rate of complete repair with excellent survival and low right ventricular (RV) pressure. However, little is known about remodeling of the unifocalized and reconstructed pulmonary circulation or about reinterventions on the reconstructed PAs or the RV outflow tract conduit. We reviewed patients who underwent complete repair of TOF with MAPCAs at our center at
ISSN:0022-5223
1097-685X
DOI:10.1016/j.jtcvs.2017.11.086