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Tetralogy of Fallot with anomalous coronary artery: double outflow technique  B.Reddy Dandolu, MD, H.Scott Baldwin, MD, William I Norwood, MD, PhD, Marshall.

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Presentation on theme: "Tetralogy of Fallot with anomalous coronary artery: double outflow technique  B.Reddy Dandolu, MD, H.Scott Baldwin, MD, William I Norwood, MD, PhD, Marshall."— Presentation transcript:

1 Tetralogy of Fallot with anomalous coronary artery: double outflow technique 
B.Reddy Dandolu, MD, H.Scott Baldwin, MD, William I Norwood, MD, PhD, Marshall L Jacobs, MD  The Annals of Thoracic Surgery  Volume 67, Issue 4, Pages (April 1999) DOI: /S (99)

2 Fig 1 The ventriculotomy incision is begun below the coronary artery, which crosses the right ventricular outflow tract. The ventricular septal defect is closed through this incision. The broken line shows the sites of incision in the anterior wall of the main pulmonary artery. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

3 Fig 2 The proximally based pulmonary artery flap is turned down and its end is sutured to the upper margin of the ventriculotomy incision. The flap must be long enough to cover the anomalous coronary artery branch without compressing it. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

4 Fig 3 Postoperative angiocardiographic frame showing double outflow from the right ventricle to the branch pulmonary arteries. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

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