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What is the prevalence of Major aortopulmonary collateral arteries (MAPCAs)?

How many people do Major aortopulmonary collateral arteries (MAPCAs) affect? Do they have the same prevalence in men and women? And in the different countries?

Prevalence of Major aortopulmonary collateral arteries (MAPCAs)

The prevalence of Major aortopulmonary collateral arteries (MAPCAs) varies depending on the population being studied. In patients with congenital heart defects, such as Tetralogy of Fallot or pulmonary atresia, the prevalence of MAPCAs can range from 10% to 50%. These collateral arteries develop as an alternative blood supply to the lungs when the normal pulmonary arteries are absent or severely stenosed. The presence of MAPCAs can significantly impact the management and surgical outcomes of these patients. Early detection and appropriate intervention are crucial for optimizing patient care.



Major aortopulmonary collateral arteries (MAPCAs) are abnormal blood vessels that develop in individuals with certain congenital heart defects, such as pulmonary atresia or tetralogy of Fallot. These collateral arteries serve as alternative pathways for blood flow to the lungs when the normal pulmonary arteries are either absent or severely narrowed.


The prevalence of MAPCAs varies depending on the specific congenital heart defect. In patients with pulmonary atresia, approximately 80-90% have MAPCAs. In tetralogy of Fallot, the prevalence is lower, ranging from 10-30%. However, it is important to note that these numbers are estimates and can vary among different populations and studies.


Diagnosis of MAPCAs typically involves imaging studies such as echocardiography, cardiac MRI, or cardiac catheterization. Treatment options may include surgical interventions to redirect blood flow or catheter-based procedures to occlude or stent the abnormal vessels.


Overall, understanding the prevalence of MAPCAs is crucial for accurate diagnosis and appropriate management of individuals with congenital heart defects.


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