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Transposition of the great arteries {S,D,D} and absent proximal left pulmonary artery

  • Dipak Kholwadwala (a1), Vincent A. Parnell (a1) and Rubin S. Cooper (a1)

Extract

while preferential blood flow to the right pulmonary artery has been described in transposition of the great arteries with or without obstruction of the left ventricular outflow tract, this disparity of pulmonary blood flow is not present in newborns.1 We report a newborn with transposition in whom there was discontinuity of the pulmonary arteries and ductal blood supply to the left pulmonary artery. To our knowledge, this entity has not been described in newborns with transposition of the great arteries {S,D,D}.

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Corresponding author

Dr. Dipak Kholwadwala, Division of Pediatric Cardiology, 300 Communiiy Drive, Manhasset, NY 11030, USA. Tel.(516) 562-3078; Fax.(516) 562-2922.

References

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Yacoub, MH, Radley-Smith, R. Anatomy of the coronary arteries in transposition of the great arteries and methods for their transfer in anatomical correction. Thorax 1978; 33:418424.
Paul, M. Transposition of the great arteries: physiologic data. In: Thomas, CC (ed). The Natural History and Progress in Treatment of Congenital Heart Defects. Charles Thomas, Springfield, 1971, p 144.
Muster, A, Paul, M, Van Grondelle, A, Conway, J. Asymmetric distribution of the pulmonary blood flow between the right and left lungs in d-transposition of the great arteries. Am J Cardiol 1976; 38: 352361.
Morgan, J, Miller, B, Daicoff, G, Andrews, J. Hemodynamic and angiographic evaluation after Mustard procedure for transposition of the great arteries. J Thorac Cardiovasc Surg 1972; 64: 878891.
Davis, H, Dow, J. Differential pulmonary vascularity and the orientation of the right ventricular outflow tract with special reference to corrected transposition. Br J Radiol 1971; 44: 258264.
Jadeikin, R, Rheuban, K, Carpenter, M, Kron, I. Ductal origin of the left pulmonary artery in severe tetralogy of Fallot: Problems in management. Pediatr Cardiol 1984; 55: 323326.

Keywords

Transposition of the great arteries {S,D,D} and absent proximal left pulmonary artery

  • Dipak Kholwadwala (a1), Vincent A. Parnell (a1) and Rubin S. Cooper (a1)

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