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Perioperative Major Aortopulmonary Collateral Arteries (MAPCAs) Coiling in Tetralogy of Fallot Patients Undergoing for Total Correction
Open accessAbstract
Background: Tetralogy of Fallot (TOF) is characterized by ventricular septal defect, an overriding aorta, varying degrees of pulmonic stenosis, and right ventricular hypertrophy.It may be associated with a number of lesions including development of major aortopulmonary collateral arteries (MAPCAs) in less than 5% of cases.In this study we just focused on the management of MAPCAs.Methodology: TOF patients with significant MAPCAs were selected after cardiac catheterization and planned for transcatheter embolization just before surgery.Results: A total of 45 patients underwent transcatheter closure of MAPCAs just before surgical correction with 100% success rate.The age varied from 3-30years and 55% (n=25) were female.In majority 60% (n=27) the procedure was carried out under deep sedation with local anaesthesia while 18 (40%) patients had general anaesthesia.There was insignificant residual leak in 2 (4%) patients, transient bradycardia (n=1) and hypercyanotic spell in 4% (n=2).No serious complications or death occurred during this study period.Conclusion: Transcatheter coiling of MAPCAs is safe, easy, and effective procedure and protects the patient from its long term devastating complications.
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“This complication affects over 40% of patients in LMICs, which is 20 times higher than the rate reported in HICs.22,24”
From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [24]
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Citations
Cites
Clinical Investigation of Systemic-Pulmonary Collateral Arteries
Yu, C.-H., & Chen, M.-R. (2008) · Pediatric Cardiology · doi:10.1007/s00246-007-9086-y · Cited by 22
Research works printed but not linked: 22
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Cited by
Sorted by citations
Tetralogy of Fallot in Low- and Middle-Income Countries
Dib, N., Chauvette, V., Diop, M. S., Bouhout, I., Hadid, M., Vô, C., Khairy, P., & Poirier, N. (2024) · CJC Pediatric and Congenital Heart Disease · doi:10.1016/j.cjcpc.2023.12.002 · Cited by 19
Metadata
- Authors
- Pakistan, L.
- Affiliations
- Punjab Institute of Cardiology (PK)
- Corresponding author
- Lahore Pakistan
- Venue
- Journal of Cardiology & Current Research
- Publisher
- MedCrave Group, LLC
- Published
- 2015-11-13
- Volume
- 3
- Issue
- 6
- ISSN
- 2373-4396 (ISSN-L)
- OpenAlex
- W2336404616
- Cited by
- 7
- References
- 1
- Citations by year
- 2022: 1 · 2021: 3 · 2019: 2 · 2017: 1
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Cardiology & Current Research (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Cardiovascular Conditions and Treatments
- Keywords
- tetralogy of Fallot, major aortopulmonary collateral arteries, preoperative embolization, total correction, deep sedation, local anesthesia, general anesthesia, residual leak, hypercyanotic spells, perioperative care
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- CoChat. (2026). Citation check: Perioperative Major Aortopulmonary Collateral Arteries (MAPCAs) Coiling in Tetralogy of Fallot Patients Undergoing for Total Correction. https://app.cochat.ai/papers/10.15406/jccr.2015.03.00123
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- Pakistan, L. (2015). Perioperative Major Aortopulmonary Collateral Arteries (MAPCAs) Coiling in Tetralogy of Fallot Patients Undergoing for Total Correction. Journal of Cardiology & Current Research. https://doi.org/10.15406/jccr.2015.03.00123
