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Ann Thorac Surg 1979;27:460-464
© 1979 The Society of Thoracic Surgeons

Articles

Surgical Correction of Pulmonary Atresia with Multiple Large Systemic-Pulmonary Collaterals

David A. Murphy, M.D.*, K.S. Sridhara, M.D., Maurice A. Nanton, M.B., Douglas L. Roy, M.D., Christian L. Belcourt, M.B., D. Alex Gillis, M.D.

Division of Cardiovascular Surgery, Departments of Pediatric Cardiology and Radiology, Dalhousie University, Maritime Heart Center at the Izaak Walton Killam Hospital for Children, Halifax, NS, Canada

Accepted for publication June 27, 1978.

* Address reprint requests to Dr. Murphy, 5850 University Ave, Halifax, NS, Canada B3J 3G9

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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