| Unrepaired Tetralogy of Fallot with Major Aortopulmonary Collateral Arteries in an Adult Patient. | |
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MedLine Citation:
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PMID: 22176554 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Tetralogy of Fallot is characterized by a ventricular septal defect, a large, overriding aorta, subpulmonic stenosis, and right ventricular hypertrophy. These lesions can be associated with abnormal development of the pulmonary vasculature. This can include peripheral pulmonic stenosis, discontinuous pulmonary arteries, anomalous pulmonary venous return, and the development of aortopulmonary collateral vessels. Aortopulmonary collateral vessels develop to supply underperfused areas of the pulmonary bed and pose a unique and challenging problem at the time of surgical repair, which involves closure of the ventricular septal defect, relief of right ventricular outflow tract obstruction, maintenance of pulmonary valve competency when possible, and establishment of laminar pulmonary blood flow to all segments of the pulmonary bed. We describe a 36-year-old man with unrepaired tetralogy of Fallot with distinctive aortopulmonary collaterals, who underwent complete surgical repair with good outcome. Two-dimensional echocardiogram, cardiac magnetic resonance imaging, and cardiac catheterization each provided vital details allowing a stepwise approach to defining his unique anatomy for surgical correction. |
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Authors:
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Illena Antonetti; Daniel Lorch; Brian Coe; Thomas S Maxey; Leelakrishna Nallamshetty; Gul H Dadlani; Michael S Berlowitz; Adam J Cohen; Maya E Guglin |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-18 |
Journal Detail:
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Title: Congenital heart disease Volume: - ISSN: 1747-0803 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Wiley Periodicals, Inc. |
Affiliation:
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Department of Cardiology, University of South Florida, Tampa, Fla, USA Department of Internal Medicine, University of South Florida, Tampa, Fla, USA Florida Heart and Lung Surgery, Tampa, Fla, USA Department of Radiology, University of South Florida, Tampa, Fla, USA Department of Pediatric Cardiology, All Children's Hospital, St. Petersburg, Fla, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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