Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achieve excellent outcomes irrespective of native pulmonary artery morphology.

@article{Davies2009UnifocalizationOM,
  title={Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achieve excellent outcomes irrespective of native pulmonary artery morphology.},
  author={Ben Davies and Shafi Mussa and Paul Davies and John Stickley and Timothy J J Jones and David James Barron and William J. Brawn},
  journal={The Journal of thoracic and cardiovascular surgery},
  year={2009},
  volume={138 6},
  pages={1269-75.e1}
}
OBJECTIVE Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries is a complex lesion with a high rate of natural attrition. We evaluated the outcomes of our strategy of unifocalization in the management of these patients. METHODS From 1989 to 2008, 216 patients entered a pathway aiming for complete repair by unifocalizing major aortopulmonary arteries to a right ventricle-pulmonary artery conduit with ventricular septal defect closure. Where ventricular… CONTINUE READING

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