Pediatric Cardiology

, Volume 39, Issue 4, pp 848–851 | Cite as

Restoring Fetal Circulation as a Means of Bridging Treatment Prior to Surgical Repair of Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta with Persistent Pulmonary Hypertension of the Newborn

  • Aamisha Gupta
  • Dennis VanLoozen
  • Anastasios C. Polimenakos
  • Kenneth A. Murdison
Case Report

Abstract

Anomalous origin of one pulmonary artery from the ascending aorta is a rare congenital anomaly. Even more rarely reported is its presence in conjunction with persistent pulmonary hypertension of the newborn (PPHN). We present a case of a full-term infant, initially thought to have PPHN and later found to have anomalous origin of the right pulmonary artery from the ascending aorta. We discuss our management concept which included use of PgE1 infusion to restore fetal circulation prior to surgical treatment in this unique clinical scenario.

Keywords

Anomalous pulmonary artery Persistent pulmonary hypertension of the newborn Prostaglandin Fetal circulation 

Notes

Acknowledgements

We would like to express our gratitude to Dr. William Bates from our Division of Radiology and to our echocardiographic sonographers Celeste Kessler RDCS, Kyle G. West RDCS, Angie Galan RDCS and Megan Ragan RDCS for assisting in the imaging of this patient.

Compliance with Ethical Standards

Conflict of interest

The authors have no disclosures to report.

Ethical Approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Need for parental consent was waived.

Research Involving Human and Animal Participants

This article does not contain any studies with animals performed by any of the authors.

References

  1. 1.
    Pallangyo P, Lyimo F, Nicholaus P, Mtolera M (2016) Anamolous origin of the right pulmonary artery from the ascending aorta in a 10-month-old child: a case report from Tanzania. J Investig Med High Impact Case Rep.  https://doi.org/10.1177/2324709616648992 Google Scholar
  2. 2.
    Xie L, Gao L, Wu Q et al (2015) Anomalous origin of the right pulmonary artery from the ascending aorta: results of direct implantation surgical repair in 6 infants. J Cardiothoracic Surg 10:97CrossRefGoogle Scholar
  3. 3.
    Haywood LJ, Chakryan Y, Kim D, Blotzer T, Rivas G, Shavelle D (2014) Abnormal origin of the right pulmonary artery from the ascending aorta (hemitruncus arteriosus). J Investig Med High Impact Case Rep.  https://doi.org/10.1177/2324709614536139 PubMedPubMedCentralGoogle Scholar
  4. 4.
    Wu M, Yang G (2006) Origin of the right pulmonary artery from the ascending aorta in a 25-year-old man. Images Cardiovasc Med 33(4):534–535Google Scholar
  5. 5.
    Agrawal H, Petit C, Miro J et al (2018) Contralateral pulmonary hypertension following resuscitation of unilateral ductal origin of a pulmonary artery: a multi-institutional review. Pediatr Cardiol 39(1):77–78CrossRefGoogle Scholar
  6. 6.
    Mielke G, Benda N (2001) Cardiac output and central distrubtion of blood flow in the human fetus. Circulation 103(12):1662–1668CrossRefPubMedGoogle Scholar
  7. 7.
    Berhrsin J, Gibson A (2011) Cardiovascular system adaptation at birth. Pediatric Child Health 21(1):1–6CrossRefGoogle Scholar
  8. 8.
    Sharma V, Berkelhamer S, Lakshminrusimha S (2015) Persistent pulmonary hypertension of the newborn. Matern Health Neonatol Perinatol 1:14CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Hadeed K, Ohanessian G, Acar P (2010) Anomalous origin of the pulmonary artery from the ascending aorta in the neonate, assessed by two-dimensional echocardiography. Arch Cardiovasc Dis 103:493–495CrossRefPubMedGoogle Scholar
  10. 10.
    Prifti E, Bonacchi M, Murzi B et al (2004) Anomalous right pulmonary artery from the ascending aorta. J Card Surg 19:103–112CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Aamisha Gupta
    • 1
  • Dennis VanLoozen
    • 1
  • Anastasios C. Polimenakos
    • 2
  • Kenneth A. Murdison
    • 1
  1. 1.Division of Pediatric Cardiology, Children’s Hospital of GeorgiaAugusta UniversityAugustaUSA
  2. 2.Division of Pediatric Cardiothoracic Surgery, Children’s Hospital of GeorgiaAugusta UniversityAugustaUSA

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