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Ann Thorac Surg 1984;38:522-525
© 1984 The Society of Thoracic Surgeons

Articles

Surgical Correction of Pulmonary Atresia and Ventricular Septal Defect with Large Systemic-Pulmonary Collaterals

L.N. Benson, M.D., F.R.C.P.(C), H. Laks, M.D.1, J. Lois, M.D., H. Dajee, M.D., J. Child, M.D., J.K. Perloff, M.D.

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, University of California, Los Angeles, Los Angeles, CA.

Accepted for publication January 5, 1984.

1 Address reprint requests to Dr. Laks, Division of Cardiothoracic Surgery, UCLA Medical Center, Los Angeles, CA 90024.

A two-stage surgical procedure was performed in a young adult with pulmonary atresia and a ventricular septal defect with upper lobe pulmonary artery flow from confluent central pulmonary arteries and lower lobe pulmonary blood flow originating from two large systemic–pulmonary collaterals. Initially a Dacron {gamma} graft was anastomosed between the ascending aorta and the collaterals and a graft to the left pulmonary artery. At the second operation, continuity was established between the right ventricle and the {gamma} graft by using a valved Dacron conduit and the ventricular septal defect was closed.




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