title: Surgical correction of pulmonary atresia and ventricular septal defect with large systemic-pulmonary collaterals.
abstract: A two-stage surgical procedure was performed in a young adult with pulmonary atresia and a ventricular septal defect with upper lobe pulmonary artery flow from confluent central pulmonary arteries and lower lobe pulmonary blood flow originating from two large systemic-pulmonary collaterals. Initially a Dacron Y graft was anastomosed between the ascending aorta and the collaterals and a graft to the left pulmonary artery. At the second operation, continuity was established between the right ventricle and the Y graft by using a valved Dacron conduit and the ventricular septal defect was closed.
mesh_terms: D000328:Adult; D001011:Aorta / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003097:Collateral Circulation; D006345:Heart Septal Defects, Ventricular / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000098:blood supply; D008297:Male; D011093:Polyethylene Terephthalates; D011651:Pulmonary Artery / Q000601:surgery; D011652:Pulmonary Circulation; D011664:Pulmonary Valve / Q000002:abnormalities*
chemical_list: D011093:Polyethylene Terephthalates