One-stage repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries by a handmade trifurcated valved conduit.
An 18-year-old girl with pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (MAPCAs) was reported. Her left-side pulmonary artery was absent, and the blood flow to the left lung was derived from two MAPCAs. One-stage correction, including the left-side thoracotomy and followed by the median sternotomy, was performed. A handmade trifurcated valved conduit was used to connect the right ventricle and the distal pulmonary arteries. The patient was doing well 3 years after the operation.
Yang
Y J
YJ
Department of Surgery, Medical College, National Cheng-Kung University, Tainan, Taiwan.
Wu
J M
JM
Tsai
L M
LM
Luo
C Y
CY
D000293:Adolescent; D001011:Aorta / Q000002:abnormalities* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003097:Collateral Circulation; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D018633:Pulmonary Atresia / Q000601:surgery*; D011652:Pulmonary Circulation; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy / Q000379:methods