Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum

Batti, Salma El; Abdallah, Iannis Ben; Julia, Pierre; Alsac, Jean-Marc; Vouhé, Pascal

doi:10.1007/s00276-018-2085-2

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…Crossed pulmonary arteries have been reported previously with double aortic arch 17 and right-sided aortic arch. 18 Detecting this crossing by echocardiography is challenging and in the current series, no prenatal diagnosis was confirmed. Only in one patient, postnatal echocardiogram was suspicious for the abnormal origin of the pulmonary arteries.…”

Section: Commentmentioning

confidence: 59%

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Surgical Experience With Crossed and Anomalous Origin of the Pulmonary Arteries From the Pulmonary Trunk: A Single Center Report of 24 Cases

Said

Hoggard

Narasimhan

2022

World J Pediatr Congenit Heart Surg

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Background Anomalies of the pulmonary origin of the pulmonary arteries are uncommon; however, the true incidence is unknown and may be underestimated. We sought to review our experience with this unusual pathology and examine its surgical implications. Methods We reviewed medical records between 2011 and 2022. Results A total of 24 patients were identified. Genetic syndromes were present in 12 patients (50%). The patients were divided into two main groups. Those with septal defects (14 patients,58.3%), and those without (10 patients, 41.7%). Aortic arch hypoplasia with/without coarctation was present in nine patients (37.5%). Pulmonary arterial branch hypoplasia and/or obstruction was present in six patients (25%) with resultant preoperative systemic or suprasystemic right ventricular pressure. Four patients (16.7%) underwent pulmonary artery branch and/or right ventricular outflow tract interventions prior to surgery. All patients underwent surgical interventions for their associated cardiac defects. The crossed pulmonary arteries were uncrossed for those four patients (16.7%) who required concomitant pulmonary arterioplasties and pulmonary arterial branch rehabilitation and who had elevated right ventricular pressures preoperatively. No early or late mortalities. One Alagille's syndrome underwent liver transplant prior to discharge. Late transcatheter interventions were needed in four (16.7%) during the follow-up period, while four patients required repeat aortic arch augmentation for recurrent arch obstruction. Conclusions Anomalous origin of the pulmonary arteries from the pulmonary trunk including crossed pulmonary arteries is an uncommon anomaly that may be underrecognized. It can occur in isolation or in association with other heart defects. Recognition of this malpositional anomaly is important as it has specific surgical and/or transcatheter implications.

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Section: Commentmentioning

confidence: 59%

“…Crossed pulmonary arteries have been reported previously with double aortic arch 17 and right-sided aortic arch. 18…”

Section: Commentmentioning

confidence: 99%

Surgical Experience With Crossed and Anomalous Origin of the Pulmonary Arteries From the Pulmonary Trunk: A Single Center Report of 24 Cases

Said

Hoggard

Narasimhan

2022

World J Pediatr Congenit Heart Surg

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“…CPAs have also been considered as an additional cause of severe dysphagia in a 33-year-old woman, associated with RAA and Kommerell diverticulum (El Batti et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Interestingly, a very unusual variant of CPAs has been reported in an infant diagnosed with Down syndrome (Raza et al, 2018), in which the RPA ostium was lying superior and to the left of the LPA ostium. CPAs have also been considered as an additional cause of severe dysphagia in a 33‐year‐old woman, associated with RAA and Kommerell diverticulum (El Batti et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Crossed pulmonary arteries: An underestimated cardiovascular variant with a strong association with genetic syndromes—A report of 74 cases with systematic review of the literature

Mastromoro

Calcagni

Vignaroli

et al. 2022

American J of Med Genetics Pt A

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Crossed pulmonary arteries (CPAs) represent an uncommon anatomic variant, usually associated with some specific syndromes and conotruncal defects. This finding has been described in 22q11.2 Deletion Syndrome (22q11.2DS). We evaluated the correlation between CPAs and genetic diseases, in order to better define the characteristics of this variant, considered a rare anatomic pattern. An in-depth analysis of CPAs genotype-phenotype correlations was performed via a literature review. We detected 74 CPAs patients through echocardiography. Of these 74 patients, 35.1% of patients showed additional intracardiac malformations, while 29.7% showed extracardiac vascular anomalies, of which 16.2% were associated with intracardiac defects and 13.5% were not. In all, 62.2% of patients were diagnosed with genetic diseases and 52.2% of them were 22q11.2DS patients. In conclusions, CPAs represent a cardiovascular variant, which is detectable in nonsyndromic individuals, but especially in various genetic syndromes and in particular in 22q11.2DS patients. Data on the real prevalence of this morphology is lacking in literature. Knowledge of this anatomic variant is useful to interpret the unusual course of the pulmonary branches and is helpful information before cardiovascular surgical correction. Moreover, due to the strong association of CPAs with some genetic syndromes, the identification of this anatomic pattern can indicate the utility of a genetic assessment of these patients.

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“…10,14 The disease is found to have a male predilection as per the reports available in literature. 4,6,7,[9][10][11]15 A good number of cases were reported mainly from China. 5,6,10,[16][17][18][19] Genetic syndrome was detected in 45% cases reported in literature; the commonest reported syndrome was DiGeorge syndrome.…”

Section: Discussionmentioning

confidence: 99%

A neonate with crossed pulmonary arteries: a case report and literature review of 115 cases worldwide

et al. 2022

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Malposition of the branch pulmonary arteries (MBPA) is an unusual malformation characterised by anomalous origin of both pulmonary arteries from the main pulmonary trunk. To date, only few cases have been reported. Herein, we present the first case report of a 3-day-old, full-term male neonate with the lesser form of crossed pulmonary arteries in Saudi Arabia detected by echocardiography and confirmed by cardiac CT. Crossed pulmonary arteries is not a rare anomaly, but it is a somewhat underreported anomaly, and their recognition is important because it is usually associated with other CHDs, airway obstruction, extra-cardiac anomalies, and certain genetic syndromes.

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Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum

Cited by 5 publications

References 9 publications

Surgical Experience With Crossed and Anomalous Origin of the Pulmonary Arteries From the Pulmonary Trunk: A Single Center Report of 24 Cases

Surgical Experience With Crossed and Anomalous Origin of the Pulmonary Arteries From the Pulmonary Trunk: A Single Center Report of 24 Cases

Crossed pulmonary arteries: An underestimated cardiovascular variant with a strong association with genetic syndromes—A report of 74 cases with systematic review of the literature

A neonate with crossed pulmonary arteries: a case report and literature review of 115 cases worldwide

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