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Surgical Repair of Tetralogy of Fallot with Large Conus Artery

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Abstract

The large conus artery transversing the right ventricular outflow tract may cause more confusion and concern in the surgery of tetralogy of Fallot with a small pulmonary annulus than other well-known coronary anomalies. We experienced an infantile case that precipitated into a critical left ventricular failure caused by transection of a large conus artery for the transannular right ventricular outflow tract reconstruction and rescued the patient with an extracorporeal lung–heart-assist system. Preoperative precise diagnosis of coronary anatomy should serve to protect against fatal mistakes, and various techniques for repair must be chosen individually for this subset of anomalies.

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References

  1. CPR Brizard C Mas YS Sohn AD Cochrane TR Karl (1998) ArticleTitleTransatrial–transpulmonary tetralogy of Fallot repair is effective in the presence of anomalous coronary arteries. J Thorac Cardiovasc Surg 116 770–779 Occurrence Handle9806384

    PubMed  Google Scholar 

  2. RP Dabizzi G Caprioli L Aiazzi (1980) ArticleTitleDistribution and anomalies of coronary arteries in tetralogy of Fallot. Circulation 61 95–102 Occurrence Handle1:STN:280:Bi%2BD28jmsVQ%3D Occurrence Handle7349946

    CAS  PubMed  Google Scholar 

  3. JT Davis DW Teske HD Alien DM Cohen GM Schauer (1996) ArticleTitleAnomalous course of the left main coronary artery in tetralogy of Fallot. Ann Thorac Surg 61 229–231 Occurrence Handle10.1016/0003-4975(95)00742-3 Occurrence Handle1:STN:280:BymC2cnjtlA%3D Occurrence Handle8561568

    Article  CAS  PubMed  Google Scholar 

  4. KE Fellows MD Freed JF Keane et al. (1975) ArticleTitleResults of routine preoperative coronary angiography in tetralogy of Fallot. Circulation 51 561–566 Occurrence Handle1:STN:280:CSqC1crosFE%3D Occurrence Handle1139765

    CAS  PubMed  Google Scholar 

  5. RA Hurwitz W Smith H King DA Girod RL Caldwell (1980) ArticleTitleTetralogy of Fallot with abnormal coronary artery: 1967 to 1977. J Thorac Cardiovasc Surg 80 129–134 Occurrence Handle1:STN:280:Bi%2BB3cfjt1M%3D Occurrence Handle7382526

    CAS  PubMed  Google Scholar 

  6. JW Kirklin EH Blackstone RA Jonas (1992) ArticleTitleMorphologic and surgical determinants of outcome even after repair of tetralogy of Fallot and pulmonary stenosis. J Thorac Cardiovasc Surg 103 706–723 Occurrence Handle1:STN:280:By2C1MvnvVQ%3D Occurrence Handle1548913

    CAS  PubMed  Google Scholar 

  7. J O’Sullivan H Bain S Hunter C Wren (1994) ArticleTitleEnd-on aortogram: improved identification of important coronary artery anomalies in tetralogy of Fallot. Br Heart J 71 102–106 Occurrence Handle1:STN:280:ByuC38fkslM%3D Occurrence Handle8297683

    CAS  PubMed  Google Scholar 

  8. JAM van Son (1995) ArticleTitleRepair of tetralogy of Fallot with anomalous origin of left anterior descending coronary artery. J Thorac Cardiovasc Surg 110 561–562 Occurrence Handle1:STN:280:ByqA28vktVc%3D Occurrence Handle7637382

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan

    M. Asano, N. Nomura, S. Sasaki & A. Mishima

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  1. M. Asano
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  2. N. Nomura
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  3. S. Sasaki
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  4. A. Mishima
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Correspondence to M. Asano.

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Asano, M., Nomura, N., Sasaki, S. et al. Surgical Repair of Tetralogy of Fallot with Large Conus Artery . Pediatr Cardiol 24, 601–603 (2003). https://doi.org/10.1007/s00246-002-0388-9

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  • DOI: https://doi.org/10.1007/s00246-002-0388-9

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