Anomalous origin of one pulmonary artery from the ascending aorta. Diagnostic, physiological and surgical considerations.
نویسندگان
چکیده
Anomalous origin of one pulmonary artery from the aorta (AOPA) is a rare congenital anomaly. Here, we report the case of a premature infant with a delayed diagnosis of AOPA who died before surgical repair could be attempted, and we review the literature regarding the diagnosis and surgical approaches in premature infants with AOPA.
منابع مشابه
Anomalous origin of a pulmonary artery from the ascending aorta: surgical repair resolving pulmonary arterial hypertension.
OBJECTIVE To emphasize the diagnostic possibility of the anomalous origin of one pulmonary artery from the ascending aorta in infants with clinically refractory heart failure and no intracardiac structural defect. METHODS Retrospective study of 4 infants with refractory heart failure undergoing 2-dimensional echocardiographic study with subcostal, suprasternal, and parasternal views, and hemo...
متن کاملAnomalous origin of the left pulmonary artery from the ascending aorta. Successful surgical correction in an infant with Fallot's tetralogy.
We describe the case of a 40-day-old female patient with a history of breathlessness since birth who was referred to our hospital for surgical correction of common arterial trunk. The invasive investigation disclosed a Fallot cent s tetralogy anatomy associated with an anomalous origin of the left pulmonary artery from the ascending aorta. Immediately after diagnosis, the patient underwent a su...
متن کاملAnomalous origin of one pulmonary artery from the ascending aorta: a review of echocardiographic, catheter, and morphological features.
Six patients with anomalous origin of one pulmonary artery from the ascending aorta were reviewed. Four had anomalous origin of the right pulmonary artery and two had anomalous origin of the left pulmonary artery from the ascending aorta. Two of these six patients had tetralogy of Fallot. Two patients died in the first month of life. No changes in the pulmonary vasculature were seen at necropsy...
متن کاملTwo dimensional echocardiographic assessment of communications between ascending aorta and pulmonary trunk or individual pulmonary arteries
The value of two dimensional echocardiography in identifying communications between the-ascending aorta and pulmonary trunk or individual pulmonary arteries was assessed in 24 children, all ofwhom had either angiocardiographic and surgical or angiocardiographic confirmation alone. Fourteen cases had truncus arteriosus, four aortopulmonary window, four anomalous origin of the left pulmonary arte...
متن کاملSurgical repair of the anomalous origin of the right pulmonary artery from the ascending aorta.
The anomalous origin of the right pulmonary artery (AORPA) from the ascending aorta is a rare congenital malformation. We describe an infant who underwent a surgical correction with direct anastomosis between the right pulmonary artery and the pulmonary trunk. Eighteen months later, the patient remains asymptomatic, and no significant residual stenosis was detected on angioresonance.
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ورودعنوان ژورنال:
- Circulation
دوره 50 3 شماره
صفحات -
تاریخ انتشار 1974