TY - JOUR
T1 - Anomalous origin of the right pulmonary artery from the ascending aorta
T2 - repair without cardiopulmonary bypass
AU - Fucci, Carlo
AU - di Carlo, Duccio C.
AU - Di Donato, Roberto
AU - Marino, Bruno
AU - Calcaterra, Giuseppe
AU - Marcelletti, Carlo
PY - 1989
Y1 - 1989
N2 - 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.
AB - 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.
KW - Cardiac surgery
KW - Hemitruncus
KW - Pulmonary hypertension
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U2 - 10.1016/0167-5273(89)90189-7
DO - 10.1016/0167-5273(89)90189-7
M3 - Article
C2 - 2737775
AN - SCOPUS:0024603476
VL - 23
SP - 309
EP - 313
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 3
ER -