A road map for collaterals: Use of 3-dimensional techniques in tetralogy of Fallot pulmonary atresia with major aortopulmonary collateral arteries.
A road map for collaterals: Use of 3-dimensional techniques in tetralogy of Fallot pulmonary atresia with major aortopulmonary collateral arteries.
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DOI：
10.1016/j.xjtc.2020.01.007
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发表时间：
2020-03
期刊：
影响因子：
1.6
通讯作者：
Whitehead KK
中科院分区：
文献类型：
--
作者：
Ghosh RM;Mascio CE;Silvestro E;O'Byrne ML;Whitehead KK
法洛四联症合并肺动脉闭锁和主动脉旁支（MAPCA）的治疗仍然具有挑战性。1，2外科修复涉及侧支循环和通常为小型肺动脉（PA）的单灶化和动脉成形术。2这些血管通常是曲折和复杂的，限制了传统成像方式（如超声心动图和血管造影）的实用性。3我们展示了一种新的可视化策略的图像，以增强术前对解剖结构的理解。2018年12月至2019年2月，费城儿童医院的3名患者接受了单灶化和四联症修复术。根据机构方案，所有患者均在新生儿期接受了心脏计算机断层扫描血管造影术，随后进行了超声心动图和心导管插入术，用于术前计划（图1）。术前，使用计算机断层扫描血管造影图像（Materialise Mimics and 3-Matics Design，Leuven，Belgium）创建胸部解剖结构的数字三维（3D）重建。
Treatment of tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries (MAPCA) remains challenging. 1, 2 Surgical repair involves unifocalization and arterioplasty of collaterals and frequently diminutive pulmonary arteries (PAs). 2 These vessels are frequently torturous and complex, limiting the utility of traditional imaging modalities (eg, echocardiography and angiography). 3 We present images from a novel visualization strategy to enhance preoperative understanding of the anatomy.Three patients at the Children's Hospital of Philadelphia underwent unifocalization and tetralogy repair from December 2018 to February 2019. Per institutional protocol, all patients underwent cardiac computed tomography angiography in the neonatal period, with subsequent echocardiograms and cardiac catheterization for presurgical planning (Figure 1). Before surgery, a digital 3-dimensional (3D) reconstruction of the thoracic anatomy was created with the use of the computed tomography angiography images (Materialise Mimics and 3-Matics Design, Leuven, Belgium).
DOI：
10.1007/s11936-018-0594-2
发表时间：
2018-02-03
影响因子：
--
作者：
Anwar, Shafkat;Rockefeller, Toby;Eghtesady, Pirooz
通讯作者：
Eghtesady, Pirooz
DOI：
10.1016/0735-1097(94)00364-v
发表时间：
1995-02-01
影响因子：
24
作者：
BULL, K;SOMERVILLE, J;TY, E
通讯作者：
TY, E
DOI：
10.1161/circinterventions.116.004952
发表时间：
2017-04-01
影响因子：
5.6
作者：
Bauser-Heaton, Holly;Borquez, Alejandro;McElhinney, Doff B.
通讯作者：
McElhinney, Doff B.