Abstract

Patients with ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries (MAPCAs) are not uncommon. There is still controversy regarding surgical treatment for these patients. The authors' experience in this article [1] was disappointing regarding patency rate, lack of growth, and the contribution to the pulmonary circulation of translocated collateral vessels. They planned to rehabilitate hypoplastic native pulmonary arteries by neonatal shunting without MAPCA translocation in 25 consecutive patients.

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