Single-Stage Unifocalization and Intracardiac Repair Using Two Tube Grafts.

Abstract

Unifocalization of the major aortopulmonary collaterals (MAPCAs) followed by intracardiac repair with ventricular septal defect (VSD) closure and restoration of right ventricle-to-pulmonary artery continuity is the ultimate treatment goal in a case of VSD with pulmonary atresia and MAPCAs. It may be achieved in a single stage or may require multiple surgeries. We present a case of a 2-year-old boy with VSD with pulmonary atresia who underwent single-stage unifocalization of MAPCAs through the midline followed by intracardiac repair using 2 polytetrafluoroethylene tube grafts: one for unifocalization and other as a bicuspid valved right ventricle-to-pulmonary artery conduit.

• Authors: Dhananjay Prakash Malankar, Shivaji Mali, Swati Garekar, Ronak Sheth
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 113 Issue 4 Pg. e299-e302 (04 2022) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 34283957 (Publication Type: Case Reports)
• Copyright: Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Cardiac Surgical Procedures
• Child, Preschool
• Collateral Circulation
• Heart Defects, Congenital (surgery)
• Heart Septal Defects, Ventricular (surgery)
• Humans
• Infant
• Male
• Pulmonary Artery (surgery)
• Pulmonary Atresia (surgery)
• Retrospective Studies