Figure Legends:
Figure 1: Digital Illustration of pathology and operative
correction
Fig1A: Illustration of pre-operative MPA-LPA non-confluence
with 10mm gap. Note the atretic pulmonary valve with no flow from RV to
MPA.
Fig1B: Illustration of incision sites as well as ligation and
transection of patent ductus arteriosus. Lines illustrate the
translocation of MPA from points A to A1 and B to B1.
Fig1C: Illustration of rotational and translational alignment
of transected MPA with LPA.
Fig1D: Illustration of corrected flow and MPA-LPA anastomosis.
Figure 2: Computer Tomography (CT) imaging
Fig 2A: Pre-operative CT image showing non-confluence of LPA
with MPA-RPA.
Fig 2B: Post-operative CT image showing good patency of MPA-LPA
anastomosis 4 months later.
Figure 3: Annotated, intraoperative photograph of MPA-LPA
anastomosis noting tension free anastomosis. RV and atretic pulmonary
valve can be seen along with sutured cardiac end of MPA.
Keys: Ao: Aorta; PDA: Patent Ductus Arteriosus; MPA: Main
Pulmonary Artery, LPA: Left Pulmonary Artery; RPA: Right Pulmonary
Artery; RV: Right Ventricle; A-PV: Atretic Pulmonary Valve; A: Anterior;
P: Posterior; L: Left; R: Right.