Hostname: page-component-76d6cb85b7-s74w7 Total loading time: 0 Render date: 2026-07-12T00:21:03.391Z Has data issue: false hasContentIssue false
  • English
  • Français

Reanastomosis and rehabilitation of interrupted left pulmonary artery derived from atretic ductus

Part of: Surgery

Published online by Cambridge University Press:  27 February 2020

Andrew F. Schiff Open the ORCID record for Andrew F. Schiff [Opens in a new window] ,
Derek A. Williams  and
Yoshio Ootaki
Andrew F. Schiff
Affiliation:
Brenner Children’s Hospital, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA
Derek A. Williams
Affiliation:
Brenner Children’s Hospital, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA
Yoshio Ootaki*
Affiliation:
Brenner Children’s Hospital, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA
*
Author for correspondence: Yoshio Ootaki, Medical Center Boulevard, Winston-Salem, NC, 27157, USA. Tel: +(336) 716-2694. E-mail: yotaki@wakehealth.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

True absence of a branch pulmonary artery is rare. We identified a patient initially diagnosed with an absent left pulmonary artery at a previous hospital. Due to disagreement in the initial diagnosis, she had a diagnostic catheterisation, which revealed an isolated left pulmonary artery off the left innominate artery via a ductus. The ductus was recanalised with serial stenting and balloon dilatation followed by reanastomosis to the main pulmonary artery. In a patient who initially is diagnosed with an absent pulmonary artery, an alternative diagnosis, such as this case report, should be considered.

Keywords

Ductal left pulmonary arteryleft innominaterecanalisation

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 4 , April 2020 , pp. 574 - 576
Copyright
© The Author(s) 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Frantzel, O.Angeborener Defekt der rechten Lungenarterie. Virchovs Arch [Pathol Anat] 1868; 43: 420.Google Scholar
McKim, JS, Wiglesworth, FW.Absence of the left pulmonary artery: a report of six cases with autopsy findings in three. Am Heart J 1954; 47: 845–859.CrossRefGoogle ScholarPubMed
Sotomora, RF, Edwards, JE.Anatomic identification of so-called absent pulmonary artery. Circulation 1978; 57: 624–633.CrossRefGoogle ScholarPubMed
Cobanoglu, A, Abbruzzese, P, Brauner, D, Ferre, B, Isenberg, H, Starr, A.Therapeutic considerations in congenital absence of the right pulmonary artery: use of internal mammary artery as a preparatory shunt. J Cardiovasc Surg 1984; 25: 241–245.Google ScholarPubMed
Barbero-Marcial, M, Atik, E, Baucia, J, Pradel, H, Macruz, R, Jatene, A.Reconstruction of the stenotic or non-confluent pulmonary arteries simultaneously with a Blalock-Taussig shunt. J Thorac Cardiovasc Surg 1988; 95: 82–89.CrossRefGoogle ScholarPubMed
Milanesi, O, Stellin, G, Zuchetta, P.Isolation of the left pulmonary artery and ventricular septal defect: successful staged management. Cardiol Young 1995; 5: 180–183.CrossRefGoogle Scholar
Peirone, A, Lee, KJ, Yoo, SJ, Musewe, N, Smallhorn, J, Benson, L.Staged rehabilitation of ductal origin of the left pulmonary artery in an infant fallot’s tetralogy. Cathet Cardiovasc Intervent 2003; 59: 392–395.CrossRefGoogle Scholar
Soo, K, Leong, M, Khalid, F.Recanalisation of the Closed Ductus Arteriosus in a Critically Ill Infant with Transposition of the Great Arteries. Cardiol Young 2016; 26: 371–374.CrossRefGoogle Scholar
Gibbs, J, Orhan, U, Blackburn, M, Wren, C, Hamilton, J, Watterson, K.Fate of the stented arterial duct. Circulation 1999; 99: 2621–2625.CrossRefGoogle ScholarPubMed
Rosenthal, E, Qureshi, S, Tynan, M.Percutaneous pulmonary valvotomy and arterial duct stenting in neonates with right ventricular hypoplasia. Am J Cardiol 1994; 74: 302–306.CrossRefGoogle ScholarPubMed
Schneider, M, Zartner, P, Sisiropoulos, A, Konertz, W, Hausdorf, G.Stent implantation of the arterial duct in newborns with duct-dependent circulation. Eur Heart J 1998; 19: 1401–1409.CrossRefGoogle ScholarPubMed
Batlivala, SP, Doff, BM, Frank, AP, and Audrey, CM.Isolated Pulmonary Artery Arising from a Duct: A Single-Center Review of Diagnostic and Therapeutic Strategies. J Thorac Cardiovasc Surg 2014; 148: 2245–2252.CrossRefGoogle ScholarPubMed
Cox, D, Quinn, R, Moran, A.et al.Ductal Origin of the Pulmonary Artery in Isolation: A Case Series. Pediatr Cardiol 2010; 31: 997–1001.CrossRefGoogle ScholarPubMed
Vaughn, GR, Moore, JW, Mallula, KK, Lamberti, JJ, El-Said, HG.Transcatheter Stenting of the Systemic-to-Pulmonary Artery Shunt: A 7-Year Experience from a Single Tertiary Center. Cathet Cardiovasc Intervent 2015; 86: 454–462.CrossRefGoogle ScholarPubMed
Mery, CMet al.Pulmonary artery resuscitation for isolated ductal origin of a pulmonary artery. J Thorac Cardiovasc Surg 2014; 148: 2235–2244.CrossRefGoogle ScholarPubMed