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Journal of Cardiovascular Medicine and Surgery 10(1-2):p 15-19, January – June 2024. | DOI: https://doi.org/10.21088/jcms.2454.7123.10(1-2)24.3
Original Article
Management of Tetralogy of Fallot with Major Aortopulmonary Collateral Arteries: Presurgical Endovascular Coil Embolization Experience
Dharmendra Kumar Srivastava, Navneet Srivastava, Abhishek Chauhan, A P Jain
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Journal of Cardiovascular Medicine and Surgery 10(1-2):p 15-19, January – June 2024. | DOI: https://doi.org/10.21088/jcms.2454.7123.10(1-2)24.3
How Cite This Article:
Dharmendra Kumar Srivastava1, Navneet Srivastava, Abhishek Chauhan et al. Management of Tetralogy of Fallot with Major Aortopulmonary Collateral Arteries: Presurgical Endovascular Coil Embolization Experience. J Cardiovasc Med Surg.2024;10(1-2):15-19Timeline
Received : February 24, 2024
Accepted : June 25, 2024
Published : June 30, 2024
Abstract
Tetralogy of Fallot with major aortopulmonary collateral arteries is a complex and heterogenous condition varying degrees of severity, while MAPCA present in 20-25% with TOF and pulmonary atresia. Our institutional approach to this lesion emphasizes presurgical endovascular multiple coil embolization ofsignificant bilateral MAPCAs along with complete intracardiac repair in the same sitting. The presurgical endovascular coil embolization of all MAPCAs of more than 3mm and complete intracardiac repairwere done in the same sitting. The multiple Boston scientific pushable cols of diameters ranging. The presence of MAPCAs is a major determining factor in the prognosis and management of TOF The role of the cardiac radiologist is not only in reporting critical components regarding collateral arteries and underlying cardiac structural disease but also in the management of TOF with MAPCAs along with cardiac surgeons.
References
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- 2. Jefferson K, Rees S, Somerville J. Systemic arterial supply to the lungs in pulmonary atresia and its relationto pulmonary artery development.Br Heart J. 1972: 34:418-427.
- 3. Lapierre C., Dubois J., Rypens F., Raboisson M.-J., Déry J. Tetralogy of fallot: preoperative assessment with MR and CT imaging. Diagnostic and Interventional Imaging. 2016;97(5):531-541.
- 4. Perry S. B., Radtke W., Fellows K. Ekeane J. F., Lock J. E. Coil embolization to occlude aortopulmonary collateral vessels and shunts in patients with congenital heart disease. Journal of the American College of Cardiology. 1989; 13(1):100-108.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Dharmendra Kumar Srivastava1, Navneet Srivastava, Abhishek Chauhan et al. Management of Tetralogy of Fallot with Major Aortopulmonary Collateral Arteries: Presurgical Endovascular Coil Embolization Experience. J Cardiovasc Med Surg.2024;10(1-2):15-19
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| February 24, 2024 | June 25, 2024 | June 30, 2024 |
DOI: https://doi.org/10.21088/jcms.2454.7123.10(1-2)24.3
Keywords
Aortopulmonary collateralCoilEndovascularTetralogy of fallotSearch for Similar Articles
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Timeline
| Received | February 24, 2024 |
| Accepted | June 25, 2024 |
| Published | June 30, 2024 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
