Short-term outcome of surgery combined with embolization of major aortopulmonary collateral vessel for tetralogy of Fallot
10.3760/cma.j.issn.1673-4904.2009.20.012
- VernacularTitle:手术联合介入封堵体肺动脉侧支矫治法洛四联症短期效果
- Author:
Peng LI
;
Xicheng DENG
- Publication Type:Journal Article
- Keywords:
Tetralogy of Fallot;
Interventional therapy;
Major aortopulmonary collateral vessel
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(20):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To demonstrate clinical value of surgical repair combined with collateral embolization for tetralogy of Fallot with major aortopulmonary collateral arteries (MAPCAs).Methods The clinical catheterization and surgical data of 8 such patients from October 2004 to May 2008 were analyzed retrospectively.All 8 patients underwent completely surgical repair combined with MAPCAs occlusion.Of 25 collateral arteries,20 were occluded before surgical procedure and 5 small ones were left.Corrective repairs were accomplished under moderate hypothermic cardiopulmonary bypass.Ventricular septal defect was closed with Dacron patch,and all patients underwent non-valved autologous right ventricular outflow tract reconstruction.Results No complications were observed,only 1 patient got hypoxemia.Blood returned to left atrium from lung was decreased.During 6 months follow-up,7 cases were in NYHA class Ⅰ,another was in NYHA class Ⅱ.Conclusions In selective patients with dual pulmonary blood supply by both MAPCAs and native pulmonary arteries,this combined therapy of collateral embolization and surgical repair simplifies copmpleling surgical procedure,improves surgical results and achieves higher rate of one-stage repair.
