Hybrid Procedures For Tetralogy Of Fallot With Main Aortopulmonary Collateral Arteries

Objective To evaluate the clinical outcomes and application values of Hybrid procedures for Tetralogy of Fallot with main aortopumlonary collateral arteries (MAPCA s).Methods Retrospectively analyze the clinical cases of11patients with TOF with MAPCAs, which underwent perioperative Interventional catheterization before the radical surgery of TOF.Results18APCAs were totally found,15of which were embolized successfully, one of them have hypoxia after catheteration, which have emergency surgery. One patient have large quantity of postoperative hemorrhage, then have reoperation.2patient have pleural effusion after the surgery. Other patients have no angiography and boltplugging associated complications, and all the patients were recovered from the hospital.Conclusion Hybrid procedures for TOF with APCAs is safe and feasible, which also have the advantage of less bleeding, less operation time, less complications and quicker recovery. This surgery has a very bright future in the treatment of congenital heart disease.