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Review
. 2022 Sep;37(9):2651-2652.
doi: 10.1111/jocs.16651. Epub 2022 Jun 3.

Commentary: Should we "keep rollin'" for PA/VSD/MAPCA?

Raymond J Strobel  1 , Andrew M Young  1 , Irving L Kron  1
Affiliations
Review

Commentary: Should we "keep rollin'" for PA/VSD/MAPCA?

Raymond J Strobel et al. J Card Surg. 2022 Sep.

Abstract

Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCA) represents an anatomically diverse and technically demanding spectrum of congenital disease. Here, we review a manuscript by Onalan et al. in the Journal of Cardiac Surgery detailing a retrospective, single-center cohort study of patients undergoing unifocalization for PA/VSD/MAPCA via either a pulmonary artery patch augmentation or pericardial roll technique. While they report statistically equivalent outcomes using both techniques, longer follow-up and increased sample size are necessary to determine efficacy and safety.

Keywords: congenital heart disease.

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Conflict of interest statement

Conflict of Interest: none

Figures

Figure:
Figure:
Raymond J. Strobel, MD, MSc (left), Andrew M. Young, MD (center) and Irving L. Kron, MD (right)
See this image and copyright information in PMC

Comment on

References

    1. Onalan MA, Cicek M, Rum M, Yurdakok O, et al. Unifocalization with Pericardial Roll Technique in Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collateral Arteries. J Card Surg. 2022. [In Press]. - PubMed
    1. Malhotra SP, Hanley FL. Surgical management of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals: a protocol-based approach. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2009:145–51. 10.1053/j.pcsu.2009.01.017. - DOI - PubMed
    1. Gupta A, Odim J, Levi D, Chang R-K, Laks H. Staged repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries: experience with 104 patients. J Thorac Cardiovasc Surg 2003;126:1746–52. 10.1016/s0022-5223(03)01200-5. - DOI - PubMed
    1. Mainwaring RD, Patrick WL, Hanley FL. Surgical Management of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collateral Arteries: Part II—Midline Unifocalization and Unifocalization Revision. Operative Techniques in Thoracic and Cardiovascular Surgery 2019;24:56–79. 10.1053/j.optechstcvs.2019.07.002. - DOI