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Comprehensive Management of Major Aortopulmonary Collaterals in the Repair of Tetralogy of Fallot

  • Michael Ma
    Correspondence
    Address correspondence to:Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, 780 Welch Road, Falk Building, CVRB, Mail Code 5407, Stanford, CA 94304, USA.
    Affiliations
    Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.
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  • Richard D. Mainwaring
    Affiliations
    Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.
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  • Frank L. Hanley
    Affiliations
    Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.
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      The heterogenous anatomy of Tetralogy of Fallot with major aortopulmonary collateral arteries has engendered a similar degree of diversity in its management and, ultimately, outcome. We summarize our comprehensive treatment paradigm for this lesion evolved over 15 years of experience through 458 patients and the results obtained. An updated analysis of 307 patients treated primarily at our institution is included. A review of recent literature, comparison of management strategies, and discussion of ongoing controversies are provided.

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