[Reconstruction of right ventricular outflow tract-pulmonary artery utilizing autologous tissue in extreme tetralogy of Fallot after coil embolization for major aortopulmonary collateral artery: report of a case].
We report a successful surgical treatment for tetralogy of Fallot with pulmonary atresia. A 18-year-old girl was admitted because of increasing exertional dyspnea and cyanosis. She had undergone bilateral classical Blalock-Taussing shunt. Prior to the correction, two major aortopulmonary collateral arteries were embolized using steel coils. Under cardiopulmonary bypass, posterior wall of the pulmonary artery was anastomosed directly to the cranial margin of the ventriculotomy for a floor made of autologous tissue. The roof was reconstructed using a patch with a monocusp. The patient is in a good postoperative condition. A coil embolization is useful and this reconstruction utilizing autologous tissue could prevent a late stenosis of the reconstructed pulmonary artery tract.
Gohra
H
H
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Tsuboi
H
H
Saitoh
S
S
Minami
Y
Y
Katoh
T
T
Fujimura
Y
Y
Esato
K
K
D000293:Adolescent; D002315:Cardiopulmonary Bypass; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D005260:Female; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000150:complications; D011652:Pulmonary Circulation; D013771:Tetralogy of Fallot / Q000601:surgery*