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Surgical repair of discontinuous right pulmonary artery utilising an autologous main pulmonary artery flap: a case report and literature review

Published online by Cambridge University Press:  31 May 2021

Nibras El Sherif
Affiliation:
Division of Pediatric Cardiology, Mayo Clinic, Rochester, MN, USA
Frank Cetta
Affiliation:
Division of Pediatric Cardiology, Mayo Clinic, Rochester, MN, USA
Elizabeth H. Stephens*
Affiliation:
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA
*
Author for correspondence: Elizabeth H. Stephens, MD, PhD, Department of Cardiovascular Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55 905, USA. Tel: 507-775-7065. E-mail: Stephens.Elizabeth@mayo.edu

Abstract

This is a case of an infant with unilateral discontinuous right pulmonary artery. Cardiac catheterisation with pulmonary wedge injection diagnosed the anomaly and aided in surgical planning. The patient underwent semi-autologous surgical repair utilising an autologous main pulmonary artery flap. One month following discharge, he underwent successful balloon dilation of the residual stenosis and was discharged the same day.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Kanno, K, Maehara, T, Yamamoto, T, Nemoto, D, Kigoshi, H, Masuda, M. Isolated unilateral absence of the pulmonary artery. Clin Case Rep 2019; 7: 25832584.CrossRefGoogle ScholarPubMed
Steiropoulos, P, Archontogeorgis, K, Tzouvelekis, A, Ntolios, P, Chatzistefanou, A, Bouros, D. Unilateral pulmonary artery agenesis: a case series. Hippokratia 2013; 17: 7376.Google ScholarPubMed
Devulapally, KK, Bhatt, N, Allen, JN. A 36-year-old woman with a history of dextrocardia and dyspnea. Diagnosis: unilateral absence of a pulmonary artery (UAPA) with right hypoplastic lung. Respir Int Rev Thorac Dis 2010; 79: 8184.Google ScholarPubMed
Turner, D, Vincent, J, Epstein, M. Isolated right pulmonary artery discontinuity. Images Paediatr Cardiol 2000; 2: 2430.Google ScholarPubMed
Apostolopoulou, SC, Kelekis, NL, Brountzos, EN, Rammos, S, Kelekis, DA. “Absent” pulmonary artery in one adult and five pediatric patients: imaging, embryology, and therapeutic implications. AJR Am J Roentgenol 2002; 179: 12531260.CrossRefGoogle ScholarPubMed
Marchau, F, Boshoff, D, Gewillig, M, Mertens, L. Excluded right pulmonary artery in a neonate. Eur J Pediatr 2004; 163: 274276.CrossRefGoogle ScholarPubMed
El-Hattab, AY, Calcaterra, D, Parekh, KR, Rossi, NP, Davis, JE, Turek, JW. Semiautologous repair for congenital discontinuous right pulmonary artery. Ann Thorac Surg 2013; 96: 22302231.CrossRefGoogle ScholarPubMed
Eltayeb, O, Mongé, MC, Popescu, AR, Sarwark, AE, Harris, T, Backer, CL. Discontinuous pulmonary artery. World J Pediatr Congenital Heart Surg 2017; 8: 106110.CrossRefGoogle ScholarPubMed

El Sherif et al. supplementary material

El Sherif et al. supplementary material

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