Document Detail

Major aorto-pulmonary collateral arteries of patients with pulmonary atresia and ventricular septal defect are dilated bronchial arteries.
MedLine Citation:
PMID:  16483787     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To test the hypothesis that major aorto-pulmonary collaterals (MAPCAs) have the same anatomy as bronchial arteries. METHODS: Two hundred and thirty-eight angiographies performed on 61 patients with pulmonary atresia, ventricular septal defect (VSD), and MAPCAs constituted the basis for this study. This represented all available angiographies performed on this patient group at our institution during the period 1972-2001. MAPCA anatomy was compared to bronchial artery anatomy as described in previous publications. RESULTS: Each patient had one to five MAPCAs (mean 3.2+/-0.94). A mean of 2.6+/-0.66 MAPCAs came from the descending aorta. MAPCAs with anatomy similar to right intercosto-bronchial arteries were found in 87% of the patients. Fifty percent of the patients had MAPCAs originating from the subclavian artery regions. These numbers were all similar to those previously described for bronchial arteries. All MAPCAs had anatomy similar to bronchial arteries. The distribution in different branching patterns of MAPCAs arising from the aorta was similar to the distribution of bronchial arteries described in previous angiographic studies (p=0.32 and p=0.24). CONCLUSIONS: In patients with pulmonary atresia and VSD, MAPCAs are likely to be dilated bronchial arteries. Bronchial arteries may have limited growth potential and their known vasoreactivity might preclude any long-term beneficial effects of unifocalization procedures.
Martin A Nørgaard; Nelson Alphonso; Andrew D Cochrane; Samuel Menahem; Christian P Brizard; Yves d'Udekem
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Publication Detail:
Type:  Journal Article     Date:  2006-02-17
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  29     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-28     Completed Date:  2006-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  653-8     Citation Subset:  IM    
Department of Cardiac Surgery, The Royal Children' Hospital, The University of Melbourne, Melbourne, Australia.
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MeSH Terms
Aorta, Thoracic / pathology,  radiography
Bronchial Arteries / anatomy & histology,  pathology*,  physiopathology,  radiography
Collateral Circulation*
Dilatation, Pathologic / pathology,  radiography
Heart Septal Defects, Ventricular / pathology*,  physiopathology,  radiography
Lung / blood supply
Pulmonary Atresia / pathology*,  physiopathology,  radiography
Retrospective Studies
Subclavian Artery / pathology
Comment In:
Eur J Cardiothorac Surg. 2006 May;29(5):643-4   [PMID:  16626963 ]

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