Postoperative Lung Perfusion with Anomalous Origin of One Pulmonary Artery from the Aorta

Abstract

Pulmonary artery damage is difficult to estimate in a patient with one pulmonary artery from the aorta, and the pulmonary artery of anomalous origin is usually damaged. We describe a newborn patient with anomalous origin of the right pulmonary artery from the aorta who presented with significant lung perfusion at the anastomotic site 6 months postoperatively; the left/right perfusion ratio was 10:90 on a scintigram. The unbalanced left/right lung perfusion gradually improved over a number of years. In a newborn patient with anomalous origin of one pulmonary artery from the aorta, unbalanced lung perfusion may improve.

Newborn With Prenatal Diagnosis of Complex Congenital Heart Disease and DiGeorge Syndrome

“…It is thus likely to sustain more damage in the process. 8 If left untreated, this may rapidly lead to pulmonary vascular obstructive disease with a 1-year survival rate as low as 30%. 7 This situation is further complicated in a patient with both left AOPA and TOF.…”

Caracterización del funcionamiento de los servicios de cirugía cardiovascular en Colombia durante la pandemia de COVID-19

“…La característica fisiopatológica que acompaña al origen anómalo de una de las ramas de la arteria pulmonar es el desarrollo de hipertensión pulmonar, en algunos casos en los primeros meses de vida, debido a que esta alteración resulta en un gran cortocircuito de izquierda a derecha con un pulmón que recibe totalmente el flujo cardiaco del ventrículo derecho, mientras que el otro recibe presión sistémica directamente de la aorta 13,[21][22][23][24][25] .…”