Tetralogy of Fallot with anomalous coronary artery: Double outflow technique

B. Reddy Dandolu, H. Scott Baldwin, William I. Norwood, Marshall L. Jacobs

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


A new technique to repair tetralogy of Fallot with an anomalous coronary artery crossing the right ventricular outflow tract is described, together with intermediate term follow-up. Using a pedicled flap of the anterior pulmonary artery wall as the floor, and a vascular or prosthetic patch as the roof, a composite conduit with the potential for growth is constructed. Together with the native outflow tract, this provides unobstructed egress from the right ventricle to the branch pulmonary arteries. Since 1990, 4 infants aged 2-weeks to 6-months have undergone primary repair using this technique. Intermediate term follow-up shows adequate durability of the repair.

Original languageEnglish (US)
Pages (from-to)1178-1180
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number4
StatePublished - Apr 1999
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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