Comprehensive Management of Major Aortopulmonary Collaterals in the Repair of Tetralogy of Fallot

Michael Ma; Richard D Mainwaring; Frank L Hanley

doi:10.1053/j.pcsu.2017.11.002

Comprehensive Management of Major Aortopulmonary Collaterals in the Repair of Tetralogy of Fallot

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018 Mar:21:75-82. doi: 10.1053/j.pcsu.2017.11.002.

Authors

Michael Ma¹, Richard D Mainwaring², Frank L Hanley²

Affiliations

¹ Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.. Electronic address: [email protected].
² Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.

PMID: 29425528
DOI: 10.1053/j.pcsu.2017.11.002

Abstract

The heterogenous anatomy of Tetralogy of Fallot with major aortopulmonary collateral arteries has engendered a similar degree of diversity in its management and, ultimately, outcome. We summarize our comprehensive treatment paradigm for this lesion evolved over 15 years of experience through 458 patients and the results obtained. An updated analysis of 307 patients treated primarily at our institution is included. A review of recent literature, comparison of management strategies, and discussion of ongoing controversies are provided.

Keywords: complex congenital heart disease; major aortopulmonary collateral arteries (MAPCAs); tetralogy of Fallot; unifocalization.

Publication types

Review

MeSH terms

Aorta / abnormalities*
Collateral Circulation*
Humans
Infant
Infant, Newborn
Plastic Surgery Procedures / methods*
Pulmonary Artery / abnormalities*
Tetralogy of Fallot / complications
Tetralogy of Fallot / physiopathology
Tetralogy of Fallot / surgery*
Vascular Surgical Procedures / methods*