Transcatheter Embolization for Systemic-pulmonary Artery Collaterals after Correction of Extreme Tetralogy of Fallot

The selective obliteration of systemic-pulmonary arterial collaterals by wire coil embolization, usually recognized in cyanotic congenital disease, is described in this report. A 11 year-old boy, who had received Blalock-Taussig shunt for extreme tetralogy of Fallot (TOF) at 1.5 year-old, had total correction and ligation of Blalock-Taussig shunt. After cardiac surgery, two times successful collateral transcatheter embolizations were performed for difficulty of weaning from left heart failure. We stressed that post operative transcatheter embolization was very effective and had many merits in these cases than the ligations of collaterals by means of thoracotomy