Summary
Cardiac catheterization in a neonate demonstrated tetralogy of Fallot and absence of anatomic origin of the left pulmonary artery from the main pulmonary artery. A central aortopulmonary shunt was performed in order to increase pulmonary blood flow. Because of the concern that the left pulmonary artery was actually being supplied by a ductus arteriosus, repeat catheterization was performed and this revealed closure of the ductus arteriosus with obliteration of arterial supply to the left pulmonary artery. A left Blalock-Taussig shunt was subsequently performed and this reestablished blood supply to the left pulmonary artery. This case report describes problems in management of congenital heart disease with absence of anatomic origin of the left pulmonary artery from the main pulmonary artery.
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References
Berry BE, McGoon DC, Ritter DG, Davis GD (1974) Absence of anatomic origin from heart of pulmonary arterial supply: clinical application of classification.J Thorac Cardiovasc Surg 68:119–125
Edwards JE, McGoon DC (1973) Absence of anatomic origin from the heart of pulmonary arterial supply.Circulation 47:393–398
Freedom RM, Moes CAF, Pelech A, Smallhorn J, Rabinovitch M, Olley PM, Williams WG, Trusler GA, Rowe RD (1984) Bilateral ductus arteriosus (or remnant): an analysis of 27 patients.Am J Cardiol 53:884–891
Frescura C, Talenti E, Pellegrino PA, Mazzucco A, Faggian G, Thiene G (1984) Coexistence of ductal and systemic pulmonary arterial supply in pulmonary atresia with ventricular septal defect.Am J Cardiol 53:348–349
Jefferson K, Rees S, Somerville J (1972) Systemic arterial supply to the lungs in pulmonary atresia and its relation to pulmonary artery development.Br Heart J 34:418–427
Lenox CC, Neches WH, Zuberbuhler JR, Park SC, Mathews RA, Siewers RD, Lerberg DB, Bahnson HT (1977) Management of bilateral ductus arteriosus in complex cyanotic heart disease.J Thorac Cardiovasc Surg 74:607–613
McKim JS, Wiglesworth FW (1954) Absence of the left pulmonary artery.Am Heart J 47:845–849
Sotomora RF, Edwards JE (1978) Anatomic identification of so-called absent pulmonary artery.Circulation 57:624–633
Tynan MJ, Gleeson JA (1966) Pulmonary atresia with bronchial arteries arising from the subclavian arteries.Br Heart J 28:573–576
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Jedeikin, R., Rheuban, K.S., Carpenter, M.A. et al. Ductal origin of the left pulmonary artery in severe tetralogy of Fallot: Problems in management. Pediatr Cardiol 5, 323–326 (1984). https://doi.org/10.1007/BF02424980
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DOI: https://doi.org/10.1007/BF02424980