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Isolation of the left pulmonary artery and ventricular septal defect—successful staged management

Published online by Cambridge University Press:  19 August 2008

Ornella Milanesi ,
Giovanni Stellin  and
Pietro Zucchetta
Ornella Milanesi*
Affiliation:
From the Department of Pediatrics, University of Padova Medical School, Padova
Giovanni Stellin
Affiliation:
From the Department of Cardiovascular Surgery, University of Padova Medical School, Padova
Pietro Zucchetta
Affiliation:
From the Department of Nuclear Medicine, University of Padova Medical School, Padova
*
Dr. Ornella Milanesi, Dipartimento di Pediarria, via Giustiniani 3, 35126 Padova, Italy. Fax. 39-49 8213509.
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Summary

We present a case of anomalous origin of the left pulmonary artery from a left-sided brachiocephalic artery via an arterial duct in a patient with a right aortic arch. Associated intracardiac anomalies were a large perimembranous ventricular septal defect and the persistence of a small vertical vein, connecting the pulmonary veins normally incorporated into the left atrium to the brachiocephalic vein. Spontaneous closure of the arterial duct occurred in the first days of life and was responsible for the circulatory “isolation” of the left pulmonary artery. The clinical course, surgical strategy and possible embryological explanation are described.

Keywords

Anomalous pulmonary arteryabsence of one pulmonary arterysurgical correction of anomalous pulmonary artery
Type
Brief Reports
Information
Cardiology in the Young , Volume 5 , Issue 2 , April 1995 , pp. 180 - 183
Copyright
Copyright © Cambridge University Press 1995

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