Aggressive Coiling of Aortopulmonary Collaterals in Single-Ventricle Patients Is Warranted
نویسندگان
چکیده
منابع مشابه
Aortopulmonary collaterals in single-ventricle congenital heart disease: how much do they count?
Broadly defined, aortopulmonary collateral blood vessels (APCs) arise from the systemic arteries and supply blood to the pulmonary circulation. In the setting of acquired and congenital pulmonary and cardiac disease, the number and caliber of these vessels can increase and lead to a significant systemic-to-pulmonary shunt. APCs typically arise from the descending aorta, subclavian artery branch...
متن کاملFate of right ventricle to pulmonary artery conduits after complete repair of pulmonary atresia and major aortopulmonary collaterals.
BACKGROUND Surgical repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals (PA/VSD/MAPCAs) requires insertion of a conduit from the right ventricle to the reconstructed pulmonary arteries. Although there is extensive literature on conduit longevity for many forms of congenital heart defects, there is currently limited information for PA/VSD/MAPCAs. It is...
متن کاملSignificance of systemic to pulmonary artery collaterals in single ventricle physiology: new insights from CMR imaging.
INTRODUCTION Systemic to pulmonary artery collaterals (SPCs) are ubiquitous in single ventricle physiology, being found in nearly twothirds of patients after a bidirectional Glenn operation and in approximately half of patients after a Fontan operation. They arise most commonly from the subclavian artery or one of its branches and supply systemic arterial blood to the distal pulmonary vasculatu...
متن کاملSurgical outcomes for patients with pulmonary atresia/major aortopulmonary collaterals and Alagille syndrome.
OBJECTIVES Pulmonary atresia with major aortopulmonary collateral arteries (PA/MAPCAs) is a complex congenital heart defect that has undergone significant advances in treatment over the past 15 years. A small subset of patients with PA/MAPCAs have associated Alagille syndrome, which can have an adverse impact on many other organ systems. The purpose of this study was to review our institutional...
متن کاملDefinitive palliation with cavopulmonary or aortopulmonary shunts for adults with single ventricle physiology.
OBJECTIVE To compare the relative merits of cavopulmonary or aortopulmonary shunts, or both, as definitive non-Fontan palliations for patients with single ventricle physiology. DESIGN Clinical data, ECG, echocardiographic data, surgical records, and available postmortem material were reviewed in all patients with single ventricle physiology identified from the University of Toronto Congenital...
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ژورنال
عنوان ژورنال: Pediatric Cardiology
سال: 2010
ISSN: 0172-0643,1432-1971
DOI: 10.1007/s00246-010-9671-3