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Coronary-to-Pulmonary Artery Collateral in Tetralogy of Fallot

Department of Cardiothoracic Surgery G.B. Pant Hospital New Delhi, India

Saket Agarwal, MCh, Tel: +91 11 2323 4242, Fax: +91 11 2667 2594, Email: saket9{at}hotmail.com, Department of Cardiothoracic Surgery, G.B. Pant Hospital, New Delhi, India.

Angiography in a 14-year-old boy with cyanosis since birth confirmed the diagnosis of tetralogy of Fallot with a subaortic ventricular septal defect, large overriding aorta, severe pulmonary stenosis, and a large collateral arising from the left circumflex artery. The collateral was isolated and ligated at its origin, and the patient underwent an uneventful repair with ventricular septal defect patch closure, infundibular resection, pulmonary valvotomy, and right ventricular outflow tract reconstruction with an autologous pericardial patch.

Key Words: Coronary Vessel Anomalies • Heart Defects • Congenital • Heart Septal Defects • Ventricular • Tetralogy of Fallot

Asian Cardiovasc Thorac Ann 2009; 17:304-306
© 2009 by SAGE Publications
DOI: 10.1177/0218492309104743