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. 2023 Nov-Dec;16(6):426-430.
doi: 10.4103/apc.apc_166_23. Epub 2024 Apr 23.

Anomalous origin of branch pulmonary artery from the aorta: Current challenges in the management

Jeeva Vijayan  1 , Manjunath Venkataswamy  2 , Anand Subramanian  3 , Nischal Rajendra Pandya  1 , Honnakere Venkataiya Jayanth Kumar  1
Affiliations

Anomalous origin of branch pulmonary artery from the aorta: Current challenges in the management

Jeeva Vijayan et al. Ann Pediatr Cardiol. 2023 Nov-Dec.

Abstract

Anomalous origin of a branch pulmonary artery from the aorta is a rare congenital anomaly that requires early surgery to prevent pulmonary vascular disease. The rate of reintervention after surgery remains high. Many aspects of the management could be improved such as assessment of operability in late presenters, selection of suitable surgical technique in each case, and prevention of anastomotic complications. We report the series of 10 patients who were operated for this anomaly. We aim to focus on the current challenges in the management of this condition.

Keywords: Anomalous origin of pulmonary artery from aorta (AOPA); congenital heart disease; hemitruncus.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Trans-thoracic echocardiogram showing modified parasternal long axis view with anterior sweep; (a) Two-dimensional echocardiographic view showing anomalous right pulmonary artery from aorta, (b) Color Doppler study showing the blood flow in the anomalous right pulmonary artery
Figure 2
Figure 2
Cardiac computed tomography scan showing anomalous left pulmonary artery from aorta; (a) Three-dimensional reconstruction, (b) Axial view
Figure 3
Figure 3
Anomalous origin of the right pulmonary artery from distal ascending aorta (arrow)
Figure 4
Figure 4
(a) Anomalous origin of the left pulmonary artery from the ascending aorta with a shared posterior wall with the main pulmonary artery (arrow), (b) left pulmonary artery disconnected from the ascending aorta and the posterior common wall excised to open the left pulmonary artery widely (arrow); Suction placed inside the left pulmonary artery
See this image and copyright information in PMC

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