Anomalous origin of pulmonary branches from the ascending aorta. A report of five cases and review of the literature

Mijangos-Vázquez, Roberto; Chávez, Irma Ofelia Miranda; Soto, Marí­a Elena; Bahena, Emilia Josefina Patiño; Zárate, Roberto Cano; Flores, Arianna Cristina Covarrubias; Colmenero, Juan Calderón; García, Alfonso Martínez; Hernández, Alfonso Buendía; Lans, Verónica Guarner; Salazar, Jorge Luis Cervantes

doi:10.1016/j.jccase.2014.08.003

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…The most recent, and largest, case series demonstrates the high success rate of direct reimplantation [ 52 ]. In the absence of intracardiac defects, the procedure can be performed without the need for cardiopulmonary bypass, potentially resulting in fewer post-operative complications [ 15 ]. Restenosis across the anastomotic site of direct reimplantation is the leading cause for re-intervention [ 40 , 76 , 103 ].…”

Section: Discussionmentioning

confidence: 99%

“…In Table 2, we list the described associated defects or malformations in these cases, having excluded 12 cases because of insufficient details [4][5][6][7][8][9]. Of the remaining 113 cases, 15 (13.3%) were not associated with intracardiac or extracardiac malformations [10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Tetralogy of Fallot was the most frequently associated cardiac malformation, reported in 59 (52.2%) cases [2,3,.…”

Section: Review Of Published Casesmentioning

confidence: 99%

“…In Table 2 , we list the described associated defects or malformations in these cases, having excluded 12 cases because of insufficient details [ 4 , 5 , 6 , 7 , 8 , 9 ]. Of the remaining 113 cases, 15 (13.3%) were not associated with intracardiac or extracardiac malformations [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. Tetralogy of Fallot was the most frequently associated cardiac malformation, reported in 59 (52.2%) cases [ 2 , 3 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , …”

Section: Case Reportmentioning

confidence: 99%

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Left Pulmonary Artery from the Ascending Aorta: A Case Report and Review of Published Cases

Loomba

Aiello

Tretter

et al. 2020

JCDD

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The left pulmonary artery arising from the ascending aorta is an infrequent finding. It may be found isolated or with intracardiac anomalies. We present a new case of the left pulmonary artery arising from the ascending aorta and pool these findings with those of previously reported cases. Associated cardiac, extracardiac, and syndromic findings are discussed along with the implications of these in the evaluation and management of this condition.

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Section: Discussionmentioning

confidence: 99%

Section: Review Of Published Casesmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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Left Pulmonary Artery from the Ascending Aorta: A Case Report and Review of Published Cases

Loomba

Aiello

Tretter

et al. 2020

JCDD

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“…Early diagnosis and corrective surgery are improving the prognosis in case of isolated AORPA in those patients, who do not develop pulmonary hypertension yet [10] . Pulmonary hypertension and heart failure are the main complications of untreated AORPA [4 , 5 , 9 , 10] . To the best of our knowledge, the pulmonary artery aneurysm association with AORPA is the first time to be described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Late diagnosis of anomalous right pulmonary artery originated from ascending aorta: Associated with small pulmonary artery aneurysm

Hamoud

Fahad

Abdullah

et al. 2020

Radiology Case Reports

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Anomalous origin of the right pulmonary artery from the ascending aorta (AORPA) is an extremely rare congenital cardiac malformation, commonly observed early in life. Patients with AORPA usually present with nonspecific clinical symptoms, commonly associated with other congenital cardiac anomalies and some complications as pulmonary hypertension and heart failure. A high index of clinical suspicion and noninvasive diagnostic imaging studies play an important role in diagnosis and preventing high mortality rates. We report a case of anomalous origin of the right pulmonary artery from the ascending aorta in a 15-year-old girl that was diagnosed with severe pulmonary hypertension, pulmonary hemorrhage, and small pulmonary artery aneurysm. Clinical, radiographic imaging and other investigations’ findings are described. To the best of our knowledge, this is the first reported case of anomalous origin of the right pulmonary artery from the ascending aorta with large patent ductus arteriosus associated with a small pulmonary artery aneurysm.

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“…We reviewed 45 surgical articles from the PubMed and clinical key databases. Of these, 9 were retrospective series,[356] whereas 36 were case reports. [789101112] The overall surgical experience described is based on 137 patients, of whom 50 were neonates.…”

Section: Introductionmentioning

confidence: 99%

Anomalous aortic origin of the pulmonary arteries: Case series and literature review

Agati¹,

Sousa

Calvaruso³

et al. 2019

Ann Pediatr Card

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Anomalous origin of the pulmonary arteries from the ascending aorta is a rare, but severe clinical entity necessitating a scrupulous evaluation. Either the right or the left pulmonary arteries can arise directly from the ascending aorta while the other pulmonary artery retains its origin from the right ventricular outflow tract. Such a finding can be isolated or can coexist with several congenital heart lesions. Direct intrapericardial aortic origin, however, must be distinguished with origin through a persistently patent arterial duct. In the current era, clinical manifestations usually become evident in the newborn rather than during infancy, as used to be the case. They include respiratory distress or congestive heart failure due to increased pulmonary flow and poor feeding. The rate of survival has now increased due to early diagnosis and prompt surgical repair, should now be expected to be at least 95%. We have treated four neonates with this lesion over the past 7 years, all of whom survived surgical repair. Right ventricular systolic pressure was significantly decreased at follow-up. Our choice of treatment was to translocate the anomalous pulmonary artery in end-to-side fashion to the pulmonary trunk. Our aim in this report is to update an Italian experience in the diagnosis and treatment of anomalous direct origin of one pulmonary artery from the aorta, adding considerations on the lessons learned from our most recent review of the salient literature.

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Anomalous origin of pulmonary branches from the ascending aorta. A report of five cases and review of the literature

Cited by 11 publications

References 6 publications

Left Pulmonary Artery from the Ascending Aorta: A Case Report and Review of Published Cases

Left Pulmonary Artery from the Ascending Aorta: A Case Report and Review of Published Cases

Late diagnosis of anomalous right pulmonary artery originated from ascending aorta: Associated with small pulmonary artery aneurysm

Anomalous aortic origin of the pulmonary arteries: Case series and literature review

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