Haemoptysis In Adolescent Patient Due To Major Aortopulmonary Collateral Arteries (Mapcas) Rupture

Tetralogy of Fallot with pulmonary atresia and large major aortopulmonary collateral arteries in congenital heart disease is associated a high mortality. Early diagnosis of this can increase the opportunity for surgery and improve survival. A small portion of unoperated patients with PA-VSD can survive until adulthood and the arterial blood supply to the lungs, is provided by mapcas. Hemoptysis inthe adolescent patient often is secondary to tuberculosis or pneumonia and rarely rupture of major aortopulmonary collateral arteries (MAPCAs).