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What is Unifocalization of Aortopulmonary collaterals?

What is Unifocalization of Aortopulmonary collaterals?

A surgery called unifocalization, performed soon after birth, can reroute the MAPCAs into the pulmonary artery in addition to repairing the Tetralogy of Fallot, restoring normal circulation from the lungs to the heart.

What is a Unifocalization?

In unifocalization, the misdirected blood vessels are rerouted into a single vessel (or into the pulmonary artery if it is present), which is then attached to the right ventricle of the heart through a conduit called a homograft. This restores normal circulation from lungs to heart.

What is MAPCAs heart?

April 2012) Major aortopulmonary collateral arteries (or MAPCAs) are arteries that develop to supply blood to the lungs when native pulmonary circulation is underdeveloped. Instead of coming from the pulmonary trunk, supply develops from the aorta and other systemic arteries.

What is AP collateral?

Major aortopulmonary collateral arteries (MAPCAs) are persistent tortuous fetal arteries that arise from the descending aorta and supply blood to pulmonary arteries in the lungs usually at the posterior aspect of hilum.

What does Alcapa stand for?

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a congenital (present at birth) heart defect in which the left coronary artery arises abnormally from the pulmonary artery. Normally, the left and right coronary arteries arise from the aorta and supply blood with oxygen to the heart.

What is DORV?

Double outlet right ventricle (DORV) is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body).

Can TOF lead to heart failure?

Conclusions. Cardiovascular disease is more common in TOF men 20 to 59 years old than in age-matched men from the general population, due to an increased prevalence of heart failure. Most heart failure seen in patients with TOF (of all ages) is mediated, at least in part, by pulmonic insufficiency.

How is ALCAPA diagnosed?

If a doctor thinks your child has ALCAPA, he or she may order tests such as: chest x-ray. electrocardiogram (ECK or EKG) echocardiogram (cardiac ultrasound)

At what age is TOF diagnosed?

Most children have it before they turn 1-year-old. It’s often done around age 6 months. A team of heart surgeons will do your child’s surgery.