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The Annals of Thoracic Surgery, Vol 27, 460-464, Copyright © 1979 by The Society of Thoracic Surgeons

ARTICLES

Surgical correction of pulmonary atresia with multiple large systemic- pulmonary collaterals

DA Murphy, KS Sridhara, MA Nanton, DL Roy, CL Belcourt and DA Gillis

A young patient in whom the pulmonary blood flow was supplied completely by five systemic-pulmonary collaterals underwent reconstruction of the pulmonary outflow tract by a new technique. This consisted of the insertion of a valve-bearing conduit between the right ventricle and an isolated segment of the descending aorta, which gave rise to three of the collaterals. Although the patient had a hypoplastic pulmonary artery confluence, other factors mitigated against its use as the sole conduit for right ventricular output.


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