[The treatments and results of tetralogy of Fallot with major aortopulmonary collateral arteries].
OBJECTIVE
To evaluate the indication and operative program of complete repair of tetralogy of Fallot with major aortopulmonary collateral arteries (TOF-MAPCA).


METHODS
From January 2000 to May 2004, 9 patients with TOF-MAPCA including 5 patients with pulmonary atresia underwent complete surgical repair, 6 of them were male and 3 were female. The ages ranged from 3 to 9 years. All patients underwent corrected operations with moderate hypothermia and cardiopulmonary bypass. Transcatheter occlusion of MAPCA was performed in 5 patients just before corrected operation. Ligation of MAPCA was performed in 1 patient in the same time of cardiac corrected operation. Midline one-stage complete unifocalization and repair were performed in 3 patients with pulmonary atresia.


RESULTS
There was one early death. The cause of death was spinal cord hemorrhage. There was no death then. Eight patients were followed up from 3 month to 4 years. Heart function (NYHA) was class I or II in 7 patients and III in 1 patient.


CONCLUSIONS
Completely surgical repair of patients with TOF-MAPCA should be performed as early as possible, which can achieve with satisfactory results by transcatheter occlusion of MAPCA or one-stage unifocalization.
Fang
Min-hua
MH
Department of Cardiovascular Surgery, Genenal Hospital of Shenyang Military District, Shenyang 110015, China. fangminhua@yahoo.com.cn
Zhu
Hong-yu
HY
Wang
Zeng-wei
ZW
Zhang
Ren-fu
RF
Wang
Hui-shan
HS
Li
Xin-min
XM
D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003097:Collateral Circulation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome