We present two patients with history of recurrent respiratory
infections, fatigue and sweating. They were diagnosed with absence of
connection between the main pulmonary artery (MPA) and right pulmonary
artery (RPA) and bilateral ductus arteriosus, with the RPA originating
from the ductus arteriosus. Treatment was approached with a hybrid
strategy: percutaneous intraluminal angioplasty with a right intraductal
stent and device closure of the left ductus arteriosus and followed by
surgical reconstruction with interposition of a graft from RPA to MPA.
Both patients had a favorable outcome.
Background
Unilateral abscence of pulmonary artery is a rare congenital heart disease. If these anomaly is unrecognized and treated the risk of pulmonary hypertension in the contralateral lung can be lethal for the patients.
Aims
To report the successful sequential hybrid‐surgical approach of two cases of rescue of pulmonary branches only fed by ductus arteriosus.
Materials & Methods
Description of two rare cases of absence of a unilateral pulmonary branch successfully treated in our institution.
Results, Discusssiion and Conclusion
The timely identification of these cases and the strategic planning of interventional and surgical hybrid sequential treatment of these rare cases is effective.
Background: The association of double aortic arch and common arterial
trunk is extremely rare. The initial surgical approach depends on the
patient’s clinical condition and associated cardiac anomalies. Aim: To
report a rare association of common arterial trunk with double aortic
arch in a 4-month-old female infant. Methods: description of case of a
rare association where double aortic arch was not diagnosed initially,
surgical repair was done successfully. Results and conclusions:
associated cardiovascular anomalies may have an impact on management and
outcome. Magnetic resonance imaging and computed tomography may be
useful in assessment of this rare association. Complete repair has
favorable outcome.
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