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Case Reports
. 2020 Apr;114(4 Suppl 1):43-46.
doi: 10.36660/abc.20190487. Epub 2020 May 18.

Case 3/2020 - Pulmonary Atresia, Interventricular Communication and Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta developing after Prior Left Central Shunt, in a Symptomatic 40-year-old Adult

[Article in English, Portuguese]
Edmar Atik  1 , Maria Angélica Binotto  1 , Alessandra Costa Barreto  1
Affiliations
Case Reports

Case 3/2020 - Pulmonary Atresia, Interventricular Communication and Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta developing after Prior Left Central Shunt, in a Symptomatic 40-year-old Adult

[Article in English, Portuguese]
Edmar Atik et al. Arq Bras Cardiol. 2020 Apr.
No abstract available

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Figures

Figura 1
Figura 1. - Radiografia de tórax salienta o aumento da área cardíaca com dominância ventricular esquerda e trama vascular pulmonar aumentada no hilo direito com diminuição em direção ao lobo inferior. Ela se mostra diminuída à esquerda com vasos mais finos. Eletrocardiograma mostra a sobrecarga ventricular direita e alterações difusas da repolarização ventricular.
Figura 2
Figura 2. - Angiografia mostra a hipoplasia da artéria pulmonar esquerda em continuidade do tronco pulmonar hipoplásico emergindo do ventrículo direito com uma abertura anular mínima (A-D), e origem da artéria pulmonar direita dilatada e hipertensa diretamente da aorta ascendente (E,F), Artéria do lobo inferior direito mais afilada (F) . APD: artéria pulmonar direita; APE: artéria pulmonar esquerda; LI-D: lobo inferior direito.
Figure 1
Figure 1. - Chest X-ray showing enlarged cardiac area with left ventricular dominance and increased pulmonary vascular network in the right hila, with a reduction towards the lower lobe. It is reduced to the left with thinner blood vessels. Electrocardiogram shows right cavity overload and diffuse ventricular repolarization changes.
Figure 2
Figure 2. - Angiotomography showing hypoplasia of the left pulmonary artery, with hypoplastic pulmonary artery continuity emerging from the right ventricle with minimum annular opening (A-D), and origin from dilated and hypertensive right pulmonary artery directly from the ascending aorta (E,F), Thinner inferior right lobe artery (F). RPA: right pulmonary artery; LPA: left pulmonary artery; IL-R: inferior right lobe.
See this image and copyright information in PMC

References

    1. 1. Pepeta L, Takawira FF, Cilliers AM, Adams PE, Ntsinjana NH, Mitchell BL. Anomalous origin of the left pulmonary artery from the ascending aorta in two children with pulmonary atresia, sub-aortic ventricular septal defect and right-sided major aorto-pulmonary collateral arteries. Cardiovasc J Afr. 2011; 22(5): 268-71. - PubMed
    1. 2. Makhmudov MM, abdumadzhidov KhA, Abdullaev EE, Mirzakhmedov BM. A case of tetralogy of Fallot with atresia of the pulmonary trunk and origin of the left pulmonary artery from the ascending aorta. Grudn Khir. 1987 Nov/Dec;(6):82-3. - PubMed
    1. 3. Metras DR, Kreitmann B, Tatou E, Riberi A, Werment F. Tetralogy of Fallot with pulmonary atresia, coronary artery-pulmonary artery fistula, and origin of left pulmonary artery from descending aorta: total correction in infancy. J Thorac Cardiovasc Surg. 1993;105(1):186-8. - PubMed

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