Congenital stenosis of the pulmonary artery branches

Franch, Robert H.

doi:10.1016/0002-9343(63)90149-9

Cited by 91 publications

(12 citation statements)

References 28 publications

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“…3). Disappearance of a continuous murmur over a stenotic right pulmonary artery has been observed following operative closure of a ventricular septal defect (Franch and Gay, 1963). However, hemodynamic and angiocardiographic data in Case 7 did not detect branch stenosis, and the murmur vanished after abolition of the shunt by operation.…”

Section: Catheterize'd Elsewhere------------------------------mentioning

confidence: 99%

Peripheral pulmonary artery murmur of atrial septal defect

Perloff¹,

Gaulfield²,

León³

1967

The American Journal of Cardiology

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Section: Catheterize'd Elsewhere------------------------------mentioning

confidence: 99%

Peripheral pulmonary artery murmur of atrial septal defect

Perloff¹,

Gaulfield²,

León³

1967

The American Journal of Cardiology

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“…Congenital PPS has been observed in congenital syndromes, such as Williams, Alagille, Keutel, Cutis laxa, Noonan, Rubella, and Ehler-Danlos syndromes. [2][3][4][5] Acquired PPS may present following cardiac surgery or may be observed in rare conditions such as fibrosing mediastinitis or mediastinal tumors, which can cause PPS by external compression. Four types of pulmonary artery stenosis, based on the location, have been described: [3][4][5] 1.…”

Section: Introductionmentioning

confidence: 99%

Rare Case of Membranous Obstruction at the Origin of Left Pulmonary Artery: Role of Perioperative Echocardiography to Evaluate the Anatomy of Pulmonary Artery

Mandal¹,

Bhat²,

Damodaran³

2017

Journal of Perioperative Echocardiography

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Branch pulmonary artery (PA) stenosis may occur as an isolated finding or in conjunction with other cardiac malformations; it may be congenital or acquired postoperatively. Branch PAs need to be assessed individually to determine the adequacy of their size, whether they are confluent or nonconfluent, any stenosis at origin or distally, and severity of stenosis. Certain lesions, such as supravalvar pulmonary stenosis, or stenosis at the branch PAs bifurcation, are better dealt with at surgery. Thus, perioperative transthoracic and transesophageal echocardiography (TEE) assume a very important role in precisely evaluating the anatomy of main and branch PAs.

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“…Peripheral pulmonary arterial stenoses commonly occur in children with congenital cardiac lesions such as tetralogy of Fallot, in children with associated extracardiac defects such as Williams and Alagille syndromes, and in children exposed to rubella infection in utero [1][2][3][4][5][6][7][8]. These stenoses are typically located either in the main or proximal branch pulmonary arteries, or more diffusely in the pulmonary vascular tree, and are usually discovered in the first few years of life.…”

Section: Introductionmentioning

confidence: 99%

Balloon angioplasty and stenting of multiple intralobar pulmonary arterial stenoses in adult patients

Rothman

Levy

Sklansky

et al. 2003

Cathet Cardio Intervent

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Balloon angioplasty and stent placement for pulmonary arterial stenoses in children are well-established therapies. In contrast, management of isolated peripheral pulmonary arterial stenoses in adults remains relatively unexplored. Four women (ages 18-63 years) with multiple discrete intralobar pulmonary arterial stenoses were treated with balloon angioplasty. Initially, 4-5 stenoses were dilated in each patient. The mean minimum diameter of the stenoses increased from 1.3 to 3.1 mm (P < 0.001), and the mean ratio of right ventricular to aortic systolic pressure decreased from 0.92 to 0.62 (P < 0.05). Each patient had marked symptomatic improvement. However, three patients developed recurrence of symptoms 4-24 months after angioplasty, and two had angiographic evidence of restenosis at previously dilated sites. These restenoses were treated with repeat angioplasty or stent implantation (three stents in each patient). One of these two patients developed near-occlusive restenosis of the stents and had successful bilateral lung transplantation. The other patient had a third catheterization with successful implantation of three additional stents. The third patient with recurrent symptoms died 2 years later, without further intervention. Transcutaneous catheter therapy for multiple intralobar pulmonary arterial stenoses in adults is highly successful acutely, but restenosis is common within several months. For some patients, balloon angioplasty and stent implantation may provide definitive management, while for others these procedures may serve as a bridge to lung transplantation.

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Congenital stenosis of the pulmonary artery branches

Cited by 91 publications

References 28 publications

Peripheral pulmonary artery murmur of atrial septal defect

Peripheral pulmonary artery murmur of atrial septal defect

Rare Case of Membranous Obstruction at the Origin of Left Pulmonary Artery: Role of Perioperative Echocardiography to Evaluate the Anatomy of Pulmonary Artery

Balloon angioplasty and stenting of multiple intralobar pulmonary arterial stenoses in adult patients

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