2. Clinical case of simultaneous radical treatment of tetralogy of Fallot with major aortopulmonary collateral arteries

Authors

  • K.N. Kuatbekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • A.L. Egizekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • D.T. Musagaliev Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • T.V. Maslov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • E.T. Sydykov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • A.V. Mishin Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • N.B. Baizhigitov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • B.Y. Suieubekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан

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Abstract

Tetralogy of Fallot (TOF) combined with major aortopulmonary collateral arteries (MAPCA) is a severe congenital heart defect due to the combination of a triad of cardiac malformation withan additional vascular anomaly of the small circulatory system. To date, there is no single accepted standard in which sequence and according to which criteria radical surgical correction of combined anomalies is indicated. This paper describes a clinical case of simultaneous opentreatment of TOF and endovascular occlusion of the MAPCA in an 8-month old child. Based on the evidence base of a large study, our patient belonged to the group where after TOF correction the therapeutic way of MAPCA treatment was used at first, which was ineffective in 38% and led to surgical methods of MAPCA occlusion. Choosing the way of simultaneous simultaneous surgical treatment of two pathologies allowed us to minimize postoperative risks and achieve good clinical results.

Keywords

Tetralogy of Fallot, major aorto­pul­ monary collateral arteries, clinical case, congenital heart disease

References

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Published

2022-11-23

Issue

No. 4 (2022)

Section

Статьи