title: Aneurysmally dilated major aorto-pulmonary collateral in tetralogy of Fallot.
abstract: Haemodynamically significant systemic-to-pulmonary artery collaterals may present as a cause of cardiorespiratory compromise in tetralogy of Fallot (TOF) with pulmonary atresia. We present here a case of TOF with pulmonary atresia with aneurysmally dilated aorto-pulmonary collateral causing compression over trachea, presenting as dry irritating cough who died suddenly with haemoptysis probably due to rupture of hypertrophied bronchial collaterals or direct erosion of large major aorto-pulmonary collateral arteries (MAPCA) into the respiratory tract.
authors.affiliation: Department of Cardiology, Seth GS Medical College, Mumbai. charanlanjewar@hotmail.com
authors.forename: Charan
authors.initials: C
authors.lastname: Lanjewar
authors.forename: Santosh
authors.initials: S
authors.lastname: Shiradkar
authors.forename: Ashish
authors.initials: A
authors.lastname: Agrawal
authors.forename: Nidheesh
authors.initials: N
authors.lastname: Mishra
authors.forename: Prafulla
authors.initials: P
authors.lastname: Kerkar
mesh_terms: D000293:Adolescent; D000783:Aneurysm / Q000150:complications; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000473:pathology; D003097:Collateral Circulation / Q000502:physiology*; D004108:Dilatation, Pathologic; D017809:Fatal Outcome; D005260:Female; D006330:Heart Defects, Congenital; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008168:Lung / Q000098:blood supply*; D011652:Pulmonary Circulation / Q000502:physiology*; D013771:Tetralogy of Fallot / Q000150:complications / Q000473:pathology*