Discontinuous Pulmonary Artery

Research output: Contribution to journalArticle

Abstract

We describe the diagnosis and surgical repair of a five-month-old infant with a congenital discontinuous right pulmonary artery. Initial echocardiogram failed to show the right pulmonary artery and revealed systemic left pulmonary artery pressure based on the tricuspid regurgitation jet. Computed tomographic angiography confirmed the diagnosis of discontinuous right pulmonary artery. The right pulmonary artery appeared essentially normal in size, and there were no significant aortopulmonary collateral arteries. Using cardiopulmonary bypass and aortic transection, we created an anastomosis between the right and the main pulmonary arteries augmented anteriorly by a pericardial patch. Postoperative lung perfusion scan demonstrated balanced pulmonary blood flow to the lungs. Pulmonary hypertension resolved over three weeks in the postoperative period, an expected outcome in this age-group.

Original languageEnglish (US)
Pages (from-to)106-110
Number of pages5
JournalWorld journal for pediatric & congenital heart surgery
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Pulmonary Artery
Lung
Tricuspid Valve Insufficiency
Cardiopulmonary Bypass
Pulmonary Hypertension
Postoperative Period
Angiography
Arteries
Age Groups
Perfusion
Pressure

Keywords

  • congenital heart disease
  • congenital heart surgery
  • infant
  • pathophysiology
  • pediatric
  • pulmonary arteries
  • pulmonary atresia with intact ventricular septum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Discontinuous Pulmonary Artery",
abstract = "We describe the diagnosis and surgical repair of a five-month-old infant with a congenital discontinuous right pulmonary artery. Initial echocardiogram failed to show the right pulmonary artery and revealed systemic left pulmonary artery pressure based on the tricuspid regurgitation jet. Computed tomographic angiography confirmed the diagnosis of discontinuous right pulmonary artery. The right pulmonary artery appeared essentially normal in size, and there were no significant aortopulmonary collateral arteries. Using cardiopulmonary bypass and aortic transection, we created an anastomosis between the right and the main pulmonary arteries augmented anteriorly by a pericardial patch. Postoperative lung perfusion scan demonstrated balanced pulmonary blood flow to the lungs. Pulmonary hypertension resolved over three weeks in the postoperative period, an expected outcome in this age-group.",
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Discontinuous Pulmonary Artery. / Eltayeb, Osama Mohyeldin; Monge, Michael C; Popescu, Andrada Roxana; Sarwark, Anne E.; Harris, Tyler; Backer, Carl L.

In: World journal for pediatric & congenital heart surgery, Vol. 8, No. 1, 01.01.2017, p. 106-110.

Research output: Contribution to journalArticle

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T1 - Discontinuous Pulmonary Artery

AU - Eltayeb, Osama Mohyeldin

AU - Monge, Michael C

AU - Popescu, Andrada Roxana

AU - Sarwark, Anne E.

AU - Harris, Tyler

AU - Backer, Carl L

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AB - We describe the diagnosis and surgical repair of a five-month-old infant with a congenital discontinuous right pulmonary artery. Initial echocardiogram failed to show the right pulmonary artery and revealed systemic left pulmonary artery pressure based on the tricuspid regurgitation jet. Computed tomographic angiography confirmed the diagnosis of discontinuous right pulmonary artery. The right pulmonary artery appeared essentially normal in size, and there were no significant aortopulmonary collateral arteries. Using cardiopulmonary bypass and aortic transection, we created an anastomosis between the right and the main pulmonary arteries augmented anteriorly by a pericardial patch. Postoperative lung perfusion scan demonstrated balanced pulmonary blood flow to the lungs. Pulmonary hypertension resolved over three weeks in the postoperative period, an expected outcome in this age-group.

KW - congenital heart disease

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KW - pathophysiology

KW - pediatric

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KW - pulmonary atresia with intact ventricular septum

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