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Radiology, Vol 128, 133-144, Copyright © 1978 by Radiological Society of North America

ARTICLES

Congenital pulmonary atresia with ventricular septal defect: angiographic and surgical correlates

GD Davis, RE Fulton, DG Ritter, DD Mair and DC McGoon

Of 181 patients with severe congenital pulmonary atresia and ventricular septal defect or "type IV truncus" (an obsolete term), all but 11% had true central pulmonary arteries. These arteries were demonstrable by large serial biplane angiograms using multiple selective injections into collateral vessels, frequent photographic subtraction, and occasional pulmonary vein-wedge angiograms. These techniques are extremely important for accurate diagnosis and in planning corrective or palliative surgery, which was done in 77% of patients with pulmonary arteries.




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