Surgical Repair of the Tetralogy of Fallot with Unusual Coronary Artery Distribution.
10.4326/jjcvs.24.145
- VernacularTitle:冠動脈走行異常を伴ったファロー四徴症の外科治療 心外同菅修復術ＶＳ右室流出路形成術
- Author:
Takahiko Sakamoto
;
Yasuharu Imai
;
Kazuaki Ishihara
;
Shuuichi Hoshino
;
Kazuo Sawatari
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(3):145-149
- CountryJapan
- Language:Japanese
-
Abstract:
Extracardiac Conduit Repair (ECCR) is conventionally selected for the Tetralogy of Fallot (TOF) with unusual coronary artery distribution. However, in recent years conduit obstruction has been an important factor. Recently, we select the Right Ventricle Outflow Tract Reconstruction (RVOTR) using direct anastomosis between PA and RV as much as possible. In this paper, RVTOR was compared with ECCR. RVOT stenosis was relieved sufficiently and the ventricular function was well maintained after both surgical methods. We concluded that RVOTR should be selected instead of the ECCR because of the conduit obstruction.
