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Tetralogy of fallot with coronary crossing the right ventricular outflow tract: A tale of a bridge and the artery


Heart Center, Boston Children's Hospital, Boston, MA, United States

Correspondence Address:
Dr. Sachin Talwar
Department of CTVS, AIIMS, New Delhi
United States
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_165_19

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Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 53-62

 

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A coronary artery crossing the right ventricular outflow tract is a subset of a larger pathomorphological cohort known as an anomalous coronary artery (ACA) in the tetralogy of Fallot (TOF). The best possible outcome in a patient with TOF and ACA is decided by judicious selection of optimum preoperative investigative information, the timing of surgery, astute assessment of preoperative surgical findings, and appropriate surgical technique from a wide array of choices. In most instances, the choice of surgical technique is determined by the size of the pulmonary annulus and the anatomical relation of ACA to the pulmonary annulus. In the present era, complete, accurate preoperative diagnosis and primary repair is a routine procedure with strategies to avoid a right ventricle-to-pulmonary artery conduit.






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Heart Center, Boston Children's Hospital, Boston, MA, United States

Correspondence Address:
Dr. Sachin Talwar
Department of CTVS, AIIMS, New Delhi
United States
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_165_19

Rights and Permissions

A coronary artery crossing the right ventricular outflow tract is a subset of a larger pathomorphological cohort known as an anomalous coronary artery (ACA) in the tetralogy of Fallot (TOF). The best possible outcome in a patient with TOF and ACA is decided by judicious selection of optimum preoperative investigative information, the timing of surgery, astute assessment of preoperative surgical findings, and appropriate surgical technique from a wide array of choices. In most instances, the choice of surgical technique is determined by the size of the pulmonary annulus and the anatomical relation of ACA to the pulmonary annulus. In the present era, complete, accurate preoperative diagnosis and primary repair is a routine procedure with strategies to avoid a right ventricle-to-pulmonary artery conduit.






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