Commentary: Should we "keep rollin'" for PA/VSD/MAPCA?

J Card Surg. 2022 Sep;37(9):2651-2652. doi: 10.1111/jocs.16651. Epub 2022 Jun 3.


Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCA) represents an anatomically diverse and technically demanding spectrum of congenital disease. Here, we review a manuscript by Onalan et al. in the Journal of Cardiac Surgery detailing a retrospective, single-center cohort study of patients undergoing unifocalization for PA/VSD/MAPCA via either a pulmonary artery patch augmentation or pericardial roll technique. While they report statistically equivalent outcomes using both techniques, longer follow-up and increased sample size are necessary to determine efficacy and safety.

Keywords: congenital heart disease.

Publication types

  • Review

MeSH terms

  • Cohort Studies
  • Collateral Circulation
  • Heart Septal Defects, Ventricular* / surgery
  • Humans
  • Infant
  • Pulmonary Artery / surgery
  • Pulmonary Atresia* / surgery
  • Retrospective Studies