title: Surgical repair of tetralogy of Fallot with large conus artery.
abstract: The large conus artery transversing the right ventricular outflow tract may cause more confusion and concern in the surgery of tetralogy of Fallot with a small pulmonary annulus than other well-known coronary anomalies. We experienced an infantile case that precipitated into a critical left ventricular failure caused by transection of a large conus artery for the transannular right ventricular outflow tract reconstruction and rescued the patient with an extracorporeal lung-heart-assist system. Preoperative precise diagnosis of coronary anatomy should serve to protect against fatal mistakes, and various techniques for repair must be chosen individually for this subset of anomalies.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. asano@med.nagoya-cu.ac.jp
authors.forename: M
authors.initials: M
authors.lastname: Asano
authors.forename: N
authors.initials: N
authors.lastname: Nomura
authors.forename: S
authors.initials: S
authors.lastname: Sasaki
authors.forename: A
authors.initials: A
authors.lastname: Mishima
mesh_terms: D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013771:Tetralogy of Fallot / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy