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Postoperative Outcomes of Children With Tetralogy of Fallot, Pulmonary Atresia, and Major Aortopulmonary Collaterals Undergoing Reconstruction of Occluded.

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Presentation on theme: "Postoperative Outcomes of Children With Tetralogy of Fallot, Pulmonary Atresia, and Major Aortopulmonary Collaterals Undergoing Reconstruction of Occluded."— Presentation transcript:

1 Postoperative Outcomes of Children With Tetralogy of Fallot, Pulmonary Atresia, and Major Aortopulmonary Collaterals Undergoing Reconstruction of Occluded Pulmonary Artery Branches  Ritu Asija, MD, Andrew M. Koth, MD, Nathalia Velasquez, MD, Frandics P. Chan, MD, Stanton B. Perry, MD, Frank L. Hanley, MD, Doff McElhinney, MD  The Annals of Thoracic Surgery  Volume 101, Issue 6, Pages (June 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Reperfusion pulmonary edema chest radiograph (CXR) scoring form.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Pulmonary segments supplied by occluded vessels: left upper lobe (LUL); left lower lobe (LLL); right lower lobe (RLL); right upper lobe (RUL); right middle lobe (RML); and left pulmonary artery (LPA). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Type of surgery for patients with occluded pulmonary arterial (PA) branches. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Preoperative angiogram and postoperative radiograph example. (A) Preoperative angiogram demonstrates occlusion of the left lower lobe pulmonary artery on pulmonary venous wedge injection (arrow). (B) Chest radiograph on the first postoperative night demonstrating significant diffuse haziness of the left lung with increased opacity of the left lower lobe (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Preoperative and postoperative angiograms. (A) Preoperative (left), occlusion of the right upper lobe branch on pulmonary venous wedge injection (arrow). Postoperative (right), anterograde pulmonary blood flow is demonstrated in the reconstructed branch (arrow). (B) Preoperative (left), occlusion of the left lower lobe branch on pulmonary venous wedge injection (arrow). Postoperative (right), anterograde flow is demonstrated in reconstructed branch (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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