The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1496-1502 , December 2005

Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries: Unifocalization brings no long-term benefits

Read at the Eighty-fifth Annual Meeting of The American Association for Thoracic Surgery, San Francisco, Calif, April 10-13, 2005.

  • Yves d'Udekem, MD, PhD

      Affiliations

    • Departments of Cardiac Surgery
    • and the Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia
    • Corresponding Author InformationAddress for reprints: Yves d'Udekem, MD, PhD, Department of Cardiac Surgery, Royal Children's Hospital, Flemington Rd, Parkville, Melbourne 3052, Victoria, Australia
  • ,
  • Nelson Alphonso, MD

      Affiliations

    • Departments of Cardiac Surgery
  • ,
  • Martin A. Nørgaard, MD, DMSc

      Affiliations

    • Departments of Cardiac Surgery
  • ,
  • Andrew D. Cochrane, MD, FRACS

      Affiliations

    • Departments of Cardiac Surgery
    • and the Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia
  • ,
  • Leeanne E. Grigg, MBBS, FRACP

      Affiliations

    • Cardiology,
  • ,
  • James L. Wilkinson, MB, ChB, FRCP, FRACP

      Affiliations

    • Royal Children's Hospital, the Department of Pediatrics, The University of Melbourne,
    • and the Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia
  • ,
  • Christian P. Brizard, MD

      Affiliations

    • Departments of Cardiac Surgery
    • and the Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia

References 

  1. Bull K , Somerville J , Ty E , Spiegelhalter D . Presentation and attrition in complex pulmonary atresia . J Am Coll Cardiol . 1995;25:491–499
  2. Griselli M , McGuirk SP , Winlaw DS , Stumper O , de Giovanni JV , Miller P , et al.  The influence of pulmonary artery morphology on the results of operations for major aortopulmonary collateral arteries and complex congenital heart defects . J Thorac Cardiovasc Surg . 2004;127:251–258
  3. Reddy VM , McElhinney DB , Amin Z , Moore P , Parry AJ , Teitel DF , et al.  Early and intermediate outcomes after repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries: experience with 85 patients . Circulation . 2000;101:1826–1832
  4. Gupta A , Odim J , Levi D , Chang RK , Laks H . Staged repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries: experience with 104 patients . J Thorac Cardiovasc Surg . 2003;126:1746–1752
  5. Iyer KS , Mee RB . Staged repair of pulmonary atresia with ventricular septal defect and major systemic to pulmonary artery collaterals . Ann Thorac Surg . 1991;51:65–72
  6. Sullivan ID , Wren C , Stark J , de Leval MR , Macartney FJ , Deanfield JE . Surgical unifocalization in pulmonary atresia and ventricular septal defect (A realistic goal?) . Circulation . 1988;78(suppl III):III5–III13
  7. Sawatari K , Imai Y , Kurosawa H , Isomatsu Y , Momma K . Staged operation for pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries (New technique for complete unifocalization) . J Thorac Cardiovasc Surg . 1989;98:738–750
  8. Reddy VM , Liddicoat JR , Hanley FL . Midline one-stage complete unifocalization and repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals . J Thorac Cardiovasc Surg . 1995;109:832–844
  9. Yagihara T , Yamamoto F , Nishigaki K , Matsuki O , Uemura H , Isizaka T , et al.  Unifocalization for pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries . J Thorac Cardiovasc Surg . 1996;112:392–402
  10. Luciani GB , Wells WJ , Khong A , Starnes VA . The clamshell incision for bilateral pulmonary artery reconstruction in tetralogy of Fallot with pulmonary atresia . J Thorac Cardiovasc Surg . 1997;113:443–452

PII: S0022-5223(05)01272-9

doi: 10.1016/j.jtcvs.2005.07.034

The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1496-1502 , December 2005