Fig. 3
From: Stenting of the right ventricular outflow tract as primary palliation for Fallot-type lesions
Sequential angiograms in 2.3 kg child with severe Fallot, Alagille syndrome, hypoplastic pulmonary arteries and MAPCAs. a: Initial aortogram documents extensive MAPCAs with dual supply. b: RVOT angio documents severely hypoplastic branch pulmonary arteries and very dysplastic pulmonary valve. c: After stenting of the RVOT there is improved flow to the small pulmonary arteries. d: At follow-up angiogram 6 months later, there is documentation of very numerous long segment stenoses to the MAPCAs, and there has been very good growth of the central pulmonary arteries despite numerous peripheral stenoses (e and f). The child went on to have further dilatation of the stent and will eventually be listed for complete repair after embolization of MAPCAs