Document Detail

The surgical anatomy of tetralogy of Fallot with pulmonary atresia rather than pulmonary stenosis.
MedLine Citation:
PMID:  1799733     Owner:  NLM     Status:  MEDLINE    
We examined the pertinent surgical features of the anatomy of 56 hearts having tetralogy of Fallot with pulmonary atresia instead of stenosis, or malformations with pulmonary atresia closely related to tetralogy. We took particular cognizance of the pulmonary arterial supply in 15 hearts in which this was derived through systemic-to-pulmonary collateral arteries, dissecting, as far as possible, the bronchopulmonary segmental distribution of the collateral arteries compared to the intrapericardial pulmonary arteries in 11 of these hearts. Two of the hearts had absence of intrapericardial pulmonary arteries, so that a solitary arterial trunk left the base of the heart. Evidence of an atretic subpulmonary infundibulum was found in 40 of the hearts, while such an infundibulum was lacking in the remainder. The pulmonary atresia was muscular in 43 hearts, valvar in 11, while the pulmonary trunk was absent in the other two hearts. In the hearts with collateral arteries, on average 2.6 collaterals were found in each case, varying from two to five per case. Only one of these arose from a brachiocephalic artery, the others all arising from the descending aorta. The distribution of collateral arteries in two cases was remarkably reminiscent of the arrangement of bronchial arteries. As far as could be judged, 16.5 bronchopulmonary segments on average were supplied in each heart, 5.1 exclusively by collateral arteries, 11.8 by intrapericardial pulmonary arteries and an average of 0.64 segments per case having a shared supply.
R H Anderson; W A Devine; P Del Nido
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  6     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1992-04-20     Completed Date:  1992-04-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  41-58; discussion 58-9     Citation Subset:  IM    
Division of Cardiology, Children's Hospital of Pittsburgh, Pennsylvania.
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MeSH Terms
Collateral Circulation
Pulmonary Artery / abnormalities*
Pulmonary Valve / abnormalities*
Tetralogy of Fallot / pathology*,  surgery
Comment In:
J Card Surg. 1991 Dec;6(4):517   [PMID:  1815778 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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