title: Unifocalization and systemic-to-pulmonary shunt using internal mammary artery for tetralogy of Fallot and pulmonary atresia with diminutive pulmonary artery and arborization anomaly.
abstract: We report successful palliation of tetralogy of Fallot and pulmonary atresia with diminutive pulmonary arteries and arborization anomaly. Unifocalization and systemic-to-pulmonary artery shunt using an internal mammary artery were successfully performed. The internal mammary artery shunt provided a sufficient blood supply for a diminutive and fragile pulmonary artery, and brought a progressive improvement of exercise intolerance and polycythemia probably due to the growth potential.
authors.affiliation: Department of Cardiothoracic Surgery, Kobe Children's Hospital, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Toyoda
authors.forename: M
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: H
authors.initials: H
authors.lastname: Ohashi
authors.forename: M
authors.initials: M
authors.lastname: Imai
authors.forename: Y
authors.initials: Y
authors.lastname: Oshima
authors.forename: N
authors.initials: N
authors.lastname: Yoshimura
authors.forename: T
authors.initials: T
authors.lastname: Yamashita
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000601:surgery*; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery*; D018633:Pulmonary Atresia / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000150:complications / Q000473:pathology / Q000601:surgery*