Anomalous origin of the right pulmonary artery from the ascending aorta: repair without cardiopulmonary bypass

Carlo Fucci, Duccio C. di Carlo, Roberto Di Donato, Bruno Marino, Giuseppe Calcaterra, Carlo Marcelletti

Research output: Contribution to journalArticlepeer-review

Abstract

Three cases of anomalous aortic origin of the right pulmonary artery are reported. All patients presented with severe cardiac failure, two of them in the neonatal period. Clear visualization of the anomalous origin of the right pulmonary artery was obtained by cross-sectional echocardiography and the diagnosis was confirmed by cardiac catheterization. All patients underwent correction without the aid of cardiopulmonary bypass. The continuity between main and right pulmonary arteries was established by a polytetrafluoroethylene graft. One early death was due to bleeding and, probably, a pulmonary vasoconstriction crisis. In all patients the right ventricular pressure was systemic or suprasystemic before surgery and dropped to near normal in the operating room after correction. Two to five years after surgery the survivors are well. This rare, potentially lethal anomaly is amenable to correction; however, diagnosis should be followed by immediate surgical treatment.

Original languageEnglish
Pages (from-to)309-313
Number of pages5
JournalInternational Journal of Cardiology
Volume23
Issue number3
DOIs
Publication statusPublished - 1989

Keywords

  • Cardiac surgery
  • Hemitruncus
  • Pulmonary hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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