Embolization of Aortopulmonary Collateral Artery Cooperate with Valved Conduit Attached to the Right Ventricular Outflow Tract for Patient After Tetralogy of Fallot Repair: A One-Stop Procedure
Keywords:Tetralogy of Fallot, Embolization of Aortopulmonary Collateral Artery, Postoperative complications, Valved Conduit, One-stop procedure
We describe a one-stop procedure for aortopulmonary collateral artery (APCA) and postoperative complications of Tetralogy of Fallot (TOF). Postoperative complications of TOF include right ventricular outflow tract stenosis, pulmonary valvular annular stenosis, pulmonary regurgitation, and aortopulmonary artery stenosis. The one-stop procedure was defined as after APCA embolization. The heart continued to function under cardiopulmonary bypass during median sternotomy to reconstruct the right ventricular outflow tract with a valved conduit and replace the aortopulmonary artery. A biological valved was sewed within the valved conduit in an artificial blood vessel in vitro and subsequently was used in the procedure and achieved significant results.
Bacha EA, Scheule AM, Zurakowski D, et al. 2001. Long-term results after early primary repair of tetralogy of Fallot. J Thorac Cardiovasc Surg. 122:154-61.
Giannopoulos NM, Chatzis AC, Bobos DP, et al. 2004. Tetralogy of Fallot: influence of right ventricular outflow tract reconstruction on late outcome. Int J Cardiol. Dec;97;Suppl 1:87-90.
Hickey EJ, Veldtman G, Bradley TJ, et al. 2009. Late risk of outcomes for adults with repaired tetralogy of Fallot from an inception cohort spanning four decades. Eur J Cardiothorac Surg. 35:156-64; discussion 164.
Kaemmerer H, Eicken A, Hess J. 2012. Managing the right ventricular outflow tract for pulmonary regurgitation after TOF. In: Chessa M, Gamberti A, eds. The right ventricle in adults with tetralogy of Fallot. Springer. 113-24.
Latus H, Born D, Shehu N, et al. 2021. Favorable atrial remodeling after percutaneous pulmonary valve implantation and its association with changes in exercise capacity and right ventricular function. J Am Heart Assoc. Oct 19;10:e021416.
Mizuno A, Niwa K. 2014. Residual problems with repaired tetralogy of Fallot. Circ J. 78:1837-8.
Nollert G, Fischlein T, Bouterwek S, et al. 1997. Long-term survival in patients with repair of tetralogy of Fallot: 36 year follow-up of 490 survivors of the first year after surgical repair. J Am Coll Cardiol. 30:1374-83.