European Journal of Cardio-Thoracic Surgery, Vol 6, 452-454, Copyright © 1992 by European Association for Cardio-thoracic Surgery
Large systemic collateral arteries developing late after total repair of tetralogy of Fallot
JT Lund
Department of Thoracic Surgery RT, Rigshospitalet, Copenhagen, Denmark.
A 22-year-old man with tetralogy of Fallot successfully underwent a
corrective operation. Twenty years after total correction, large systemic
collateral arteries (SCA) developed. The SCA arose from the right
subclavian and internal mammary arteries. The SCA were not present at the
time of total repair and thoracotomy had not been performed on this side. A
closed-tube thoracostomy for postoperative pneumothorax may be responsible
for the development of the large SCA.