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Tetralogy of Fallot with pulmonary atresia and aortopulmonary window may mimic common arterial trunk

Part of: Basic Science

Published online by Cambridge University Press:  17 June 2021

Sudesh Prabhu Open the ORCID record for Sudesh Prabhu [Opens in a new window] ,
Manaswini Keshav ,
Prakash Ramachandra ,
Vimal Raj ,
Colin John  and
Tom R Karl
Sudesh Prabhu*
Affiliation:
Paediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, India
Manaswini Keshav
Affiliation:
Medical Student, MS Ramaiah Medical College, Bengaluru, India
Prakash Ramachandra
Affiliation:
Paediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, India
Vimal Raj
Affiliation:
Paediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, India
Colin John
Affiliation:
Paediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, India
Tom R Karl
Affiliation:
Queensland Pediatric Cardiac Research, University of Queensland, Brisbane, Australia
*
Author for correspondence: Sudesh Prabhu, Department of Pediatric Cardiac Surgery, Narayana Institute of Cardiac Sciences, 258/A Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, Karnataka 560099, India. Tel: +919886899450. E-mail: [email protected]
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Abstract

Tetralogy of Fallot with pulmonary atresia is a group of congenital cardiac malformations, which is defined by the absence of luminal continuity between both ventricles and the pulmonary artery, and an interventricular communication. Pulmonary arterial supply in patients with tetralogy of Fallot with pulmonary atresia can be via the arterial duct or from collateral arteries arising directly or indirectly from the aorta (systemic-to-pulmonary artery collaterals), or rarely both. The rarest sources of pulmonary blood flow are aortopulmonary window and fistulous communication with the coronary artery.

Herein, we describe an outflow tract malformation, tetralogy of Fallot with pulmonary atresia and aortopulmonary window, which was misdiagnosed as common arterial trunk. We emphasise the morphological differences.

Keywords

Pulmonary atresiaventricular septal defectaortopulmonary windowcommon arterial trunksub-pulmonary infundibulumpulmonary blood flow
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 3 , March 2022 , pp. 410 - 414
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Tchervenkov, CI, Roy, N. Congenital heart surgery nomenclature and database project: pulmonary atresia—ventricular septal defect. Ann Thorac Surg 2000; 69 (4 Suppl): S97–S105. doi: 10.1016/s0003-4975(99)01285-0.CrossRefGoogle ScholarPubMed
Rabinovitch, M, Herrera-deLeon, V, Castaneda, AR, Reid, L. Growth and development of the pulmonary vascular bed in patients with tetralogy of Fallot with or without pulmonary atresia. Circulation 1981; 64: 1234–1249. doi: 10.1161/01.cir.64.6.1234.CrossRefGoogle ScholarPubMed
Franklin, RCG, Béland, MJ, Colan, SD, et al. Nomenclature for congenital and paediatric cardiac disease: the International Paediatric and Congenital Cardiac Code (IPCCC) and the Eleventh Iteration of the International Classification of Diseases (ICD-11). Cardiol Young 2017; 27: 1872–1938. doi: 10.1017/S1047951117002244.CrossRefGoogle Scholar
Jacobs, ML. Congenital heart surgery nomenclature and database project: truncus arteriosus. Ann Thorac Surg 2000; 69 (4 Suppl): S50–S55. doi: 10.1016/s0003-4975(99)01320-x.CrossRefGoogle ScholarPubMed
Jacobs, ML, Anderson, RH. Rationalising the nomenclature of common arterial trunk. Cardiol Young 2012; 22: 639–646. doi: 10.1017/S1047951112001606.CrossRefGoogle ScholarPubMed
Anderson, RH, Penny, DJ. Common arterial trunk. In: Anderson, RH, Baker, EJ, Penny, DJ, Redington, AN, Rigby, ML, Wernovsky, G (eds). Paediatric Cardiology, 3 rd edn. Churchill Livingstone Elsevier, Philadelphia, PA, 2010: 859–874.Google Scholar
Mavroudis, C, Backer, CL. Truncus arteriosus. In: Mavroudis, C, Backer, CL (eds). Pediatric Cardiac Surgery, 4 th edn. Wiley-Blackwell, West Sussex, UK, 2013: 361–375.10.1002/9781118320754.ch19CrossRefGoogle Scholar
Rossi, RN, Hislop, A, Anderson, RH, Martins, FM, Cook, AC. Systemic-to-pulmonary blood supply in Tetralogy of Fallot with pulmonary atresia. Cardiol Young 2002; 12: 373–388. doi: 10.1017/s1047951100012981.CrossRefGoogle ScholarPubMed
Liao, PK, Edwards, WD, Julsrud, PR, Puga, FJ, Danielson, GK, Feldt, RH. Pulmonary blood supply in patients with pulmonary atresia and ventricular septal defect. J Am Coll Cardiol 1985; 6: 1343–1350. doi: 10.1016/s0735-1097(85)80223-0.CrossRefGoogle ScholarPubMed
Pahl, E, Fong, L, Anderson, RH, Park, SC, Zuberbuhler, JR. Fistulous communications between a solitary coronary artery and the pulmonary arteries as the primary source of pulmonary blood supply in tetralogy of Fallot with pulmonary valve atresia. Am J Cardiol 1989; 63: 140–143. doi: 10.1016/0002-9149(89)91104-1.CrossRefGoogle ScholarPubMed
Baker, EJ, Anderson, RH. Tetralogy of Fallot with pulmonary atresia. In: Anderson, RH, Baker, EJ, Penny, DJ, Redington, AN, Rigby, ML, Wernovsky, G (eds). Paediatric Cardiology, 3 rd edn. Churchill Livingstone Elsevier, Philadelphia, PA, 2010: 774–793.Google Scholar
Anderson, RH. Lesions with normal segmental connections. In: Anderson, RH, Spicer, DE, Hlavacek, AM, Cook, AC, Backer, CL (eds). Wilcox’s Surgical Anatomy of the Heart, 4 th edn. Cambridge University Press, Cambridge, UK, 2013: 150–243.10.1017/CBO9781139028561.008CrossRefGoogle Scholar
Graham, A, Poopalasundaram, S, Shone, V, Kiecker, C. A reappraisal and revision of the numbering of the pharyngeal arches. J Anat 2019; 235: 1019–1023. doi: 10.1111/joa.13067.CrossRefGoogle ScholarPubMed
Kasturi, S, Prabhu, S. Handmade trileaflet valved ePTFE right ventricle to pulmonary artery conduit – how do we do it? Multimed Man Cardiothorac Surg 2020. doi: 10.1510/mmcts.2020.023.CrossRefGoogle Scholar
Anderson, RH, Chaudhry, B, Mohun, TJ, et al. Normal and abnormal development of the intrapericardial arterial trunks in humans and mice. Cardiovasc Res 2012; 95: 108–115. doi: 10.1093/cvr/cvs147.CrossRefGoogle ScholarPubMed
Mori, K, Ando, M, Takao, A, Ishikawa, S, Imai, Y. Distal type of aortopulmonary window. Report of 4 cases. Br Heart J 1978; 40: 681–689. doi: 10.1136/hrt.40.6.681.CrossRefGoogle ScholarPubMed
Ho, S, Gerlis, L, Anderson, C, Devine, W, Smith, A. The morphology of aortopulmonary windows with regard to their classification and morphogenesis. Cardiol Young 1994; 4: 146–155. doi: 10.1017/S1047951100002092.CrossRefGoogle Scholar
Jacobs, JP, Quintessenza, JA, Gaynor, JW, Burke, RP, Mavroudis, C. Congenital heart surgery nomenclature and database project: aortopulmonary window. Ann Thorac Surg 2000; 69 (4 Suppl): S44–S49. doi: 10.1016/s0003-4975(99)01236-9.CrossRefGoogle ScholarPubMed
Anderson, RH, Wilcox, BR. The surgical anatomy of ventricular septal defects associated with overriding valvar orifices. J Card Surg 1993; 8: 130–142. doi: 10.1111/j.1540-8191.1993.tb00363.x.CrossRefGoogle ScholarPubMed