Origen aórtico de arteria pulmonar izquierda en neonato con tetralogía de Fallot

Carretero, Juan; Rissech, Miquel; Mortera, Carlos; Mayol, Javier; Caffarena, José M.; Prada, Fredy

doi:10.1157/13078560

Cited by 12 publications

(7 citation statements)

References 11 publications

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“…[15] Several theories have been offered in terms of morphogenesis. One suggesting an error in development of cells migrating from the neural crest to the fifth or sixth aortic arches[16] can be discounted simply because there is no fifth pharyngeal arch seen during normal development. Unequal partitioning of the “conotruncus” by eccentric coalescence of the right and left outflow tract ridges[1718] can similarly be discounted since the outflow cushions separate the intermediate and proximal parts of the developing outflow tract.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…In this patient classic BT was initially performed in the setting of cyanosis with only slight improvement in arterial saturation [ 3 ]. Because of the unclear pathophysiology we decided to perform cardiac catheterization, which revealed the right-sided aortic arch and Kommerell's diverticulum with PDA as the only blood supply to the obstructed LPA [ 4 ]. Ostial stenosis of the LPA was successfully percutaneously dilated with a balloon and finally total repair of the ToF was performed with pulmonary artery reconstruction [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Juściński¹,

Haponiuk²,

Chojnicki³

et al. 2014

kitp

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Anomalies in development of the pulmonary valve, pulmonary trunk and peripheral pulmonary arteries are typical accompanying pathologies in patients with tetralogy of Fallot (ToF). Demanding for diagnostics and borderline for treatment is a condition colloquially called “discontinuous pulmonary arteries”, while the main branches are supplied with systemic blood from the ascending aorta, aortic arch or descending thoracic aorta.We present a case of a one-year-old girl with ToF and anomalous origin of the left pulmonary artery (LPA) from Kommerell's diverticulum who underwent two-stage surgical therapy with the support of interventional cardiology.We conclude that early diagnosis of discontinuous pulmonary artery is crucial for choosing the optimal operative strategy. In our opinion, simultaneous anatomic intracardiac correction with direct pulmonary reconstruction seems reasonable and effective, particularly when the result is achieved after joint efforts of cardiac surgery and interventional cardiology.

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“…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,. Of these cases, 9 also had so-called "absence" of the leaflets of the pulmonary valve [26,38,44,51,54,60,61].…”

Section: Review Of Published Casesmentioning

confidence: 99%

“…Of the 113 cases with sufficient anatomic details, an aberrant left subclavian artery was reported in 6 cases, and an aberrant right subclavian artery in 2 cases [3,24,33,68]. The only genetic condition reported in these cases was 22q11.1 deletion which was documented in 8 (7.1%) of cases [2,41,46,59,85,86]. The sidedness of the aortic arch was reported in only 74 cases, with 51 (68.9%) right arches and 23 (31.1%) left arches.…”

Section: Review Of Published Casesmentioning

confidence: 99%

“…The second type, with anomalous origin of the left pulmonary artery, is much rarer, accounting for 0.03% of all congenital heart defects. It is often associated with other cardiac malformations [2,3]. The anomalous pulmonary artery, furthermore, can arise intrapericardially from the ascending aorta, or extrapericardially from the transverse or descending parts of the aorta.…”

Section: Introductionmentioning

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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Origen aórtico de arteria pulmonar izquierda en neonato con tetralogía de Fallot

Cited by 12 publications

References 11 publications

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

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

Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

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

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