Single coronary ostium, unilateral pulmonary atresia and MAPCA with tetralogy of fallot in a young adult: a rare association
Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease (CHD). The mortality rate in untreated patients reaches 50% by age 6 years. It is also the most common form of cyanotic CHD with survival upto adulthood. However, TOF with both coronary and pulmonary vasculature anomalies is an extreme variant. We report a case of TOF with single coronary ostium (SCA); atretic branch pulmonary arteries and major aortopulmonary collateral artery (MAPCA) with relatively symptomless period upto 22 years of age.
Bailliard F, Anderson RH. Tetrology of Fallot. Orphanet J Rare Dis. 2009 Jan 13;4:2. doi: https://doi.org/10.1186/1750-1172-4-2.
Garne E, Nielsen G, Hansen OK, Emmertsen K. Tetralogy of Fallot. A population-based study of epidemiology, associated malformations and survival in western Denmark 1984-1992. Scand Cardiovasc J. 1999;33(1):45-8.doi: https://doi.org/10.1080/14017439950142037.
Asija R, Hanley FL, Roth SJ. Postoerative respiratory failure in children with tetralogy of fallot, pulmonary atresia, and major aortopulmonary collaterals: a pilot study. Pediatr Crit Care Med. 2013;14:384.
Jureidini SB, Scott Appleton RR, Nouri S, Crawford CJ. Detection of coronary artery abnormalities in tetralogy of fallot by two-dimensional echocardiography. J Am Coll Cardiol. 1989;14(4):960-967.https://core.ac.uk/download/pdf/82133292.pdf.
Pokorski RJ. Long-term survival after repair of tetralogy of Fallot. J Insur Med. 2000;32(2):89-92.
Hornberger LK, Sanders SP, Sahn DJ, Rice MJ, Spevak PJ, Benacerraf BR, McDonald RW, Colan SD. In utero pulmonary artery and aortic growth and potential for progression of pulmonary outflow tract obstruction in tetralogy of Fallot. J Am Coll Cardiol. 1995 Mar 1;25(3):739-45.doi: https://doi.org/10.1016/0735-1097(94)00422-m.
Pepas LP, Savis A, Jones A, Sharland GK, Tulloh RM, Simpson JM. An echocardiographic study of tetralogy of Fallot in the fetus and infant. Cardiol Young. 2003 Jun;13(3):240-7.
Bertranou EG, Blackstone EH, Hazelrig JB, Turner ME, Kirklin JW. Life expectancy without surgery in tetralogy of Fallot. Am J Cardiol. 1978 Sep;42(3):458-66.doi: https://doi.org/10.1016/0002-9149(78)90941-4.