YIN Zhaohua , SHEN Xiangdong , LIU Yinglong , WANG Xiaoqi
  • （Department of Pediatric Cardiac Surgery, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences &;
  • Peking Union Medical College, Beijing 100037, P.R. China. E-mail: cams_yinzhaohua@sina.com.cn）;
Tetralogy of Fallot; Anomalous coronary artery; Congenital heart disease; Surgery
Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables References Cited by

Abstract: Objective To analyze the surgical treatment of tetralogy of Fallot (TOF) with anomalous coronary artery (ACA) crossing the right ven
tricular outflow tract (RVOT), in order to improve the outcome of the disease. Methods The clinical data of 26 patients of TOF with ACA cr
ossing the RVOT of Fu Wai Hospital from Oct.1996 to Feb.2006 were analyzed retrospectively. A double ventriculotomy superior and inferior to ACA were used in 11 patients, one ventriculotomy inferior to ACA were used in 6 patients and superior to ACA for 4 patients, 2 patients needed extra cardiac conduits, and 3 patients received other approaches. Results There were 2 operative death （7.7%）and no late deaths. Follow-up was extended 1 to 100 months, all of them had no residual ventricular septal defect(VSD) and their right ventriclepulmonary artery gradient were 27.3±15.6 mmHg. Conclusion Preoperative identification of ACA in patients with TOF is necessary. The surgeon should be careful in inspection of distribution of coronary artery during operation, and undergo the individualized surgical procedures based on the extent of RVOT obstruction and distribution of the ACA.

Citation： YIN Zhaohua,SHEN Xiangdong,LIU Yinglong,WANG Xiaoqi,LI Dianyuan.. Clinical Analysis of the Treatment of Tetralogy of Fallot with Anomalous Coronary Artery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2007, 14(1): 6-9. doi: Copy