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

Malankar, Dhananjay Prakash; Mali, Shivaji; Garekar, Swati; Sheth, Ronak · Ann Thorac Surg · 2022

case_report · Level V

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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.

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