Value Of The Spiral Angioscanner With Three Dimensional Reconstruction In The Operative Strategy Of Unifocalisations (One Case).

One of the difficulties of surgical treatment of pulmonary atresia with patent septum by unifocalisation resides in the accurate diagnosis of the different collateral vessels to the lung in order to optimise the surgical approach : anterior or posterolateral thoracotomy, and to determine the type of operation : one or two stages repair.Conventional angiography, even using different views, cannot always give an accurate representation of the anatomy of the different collateral vessels, especially their relationship to the bronchial structures. The authors report the contribution of spiral angioscanner with three dimensional reconstruction in the determination of the operative strategy of a case of pulmonary atresia with patent septum.