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Tetralogy of Fallot with anomalous coronary artery: double outflow technique.

Dandolu BR, Baldwin HS, Norwood WI, Jacobs ML
Ann Thorac Surg. 1999 67 (4): 1178-80

PMID: 10320283 · DOI:10.1016/s0003-4975(99)00115-0

A new technique to repair tetralogy of Fallot with an anomalous coronary artery crossing the right ventricular outflow tract is described, together with intermediate term follow-up. Using a pedicled flap of the anterior pulmonary artery wall as the floor, and a vascular or prosthetic patch as the roof, a composite conduit with the potential for growth is constructed. Together with the native outflow tract, this provides unobstructed egress from the right ventricle to the branch pulmonary arteries. Since 1990, 4 infants aged 2-weeks to 6-months have undergone primary repair using this technique. Intermediate term follow-up shows adequate durability of the repair.

MeSH Terms (11)

Coronary Vessel Anomalies Follow-Up Studies Humans Infant Infant, Newborn Methods Pulmonary Artery Surgical Flaps Tetralogy of Fallot Transplantation, Autologous Ventricular Outflow Obstruction

Connections (2)

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