Anomalous Origin of One Pulmonary Artery From the Ascending Aorta

Manuel, Valdano; Sousa-Uva, Miguel; Morais, Humberto; Magalhães, Mauro de Oliveira; Pedro, Albino; Miguel, Gade; Nunes, Maria Ana Sampaio; Gamboa, Sebastiana; Júnior, António Pedro Filipe

doi:10.1177/2150135115601832

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Patients with a diagnosis of SMA who underwent cardiac surgery from March 2011 to December 2015 at the Cardio‐thoracic Center of Clínica Girassol were analyzed. Patients with history of chest trauma, fever, signs of infective endocarditis, or prior cardiac surgery were excluded.…”

Section: Methodsmentioning

confidence: 99%

Submitral aneurysm in children

et al. 2016

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confidence: 99%

Submitral aneurysm in children

et al. 2016

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“…Anomalous origin of the pulmonary artery from the aorta (AOPA) (also known as hemitruncus arteriosus) is a rare cardiac anomaly accounting for approximately 0.1% of congenital heart disease (CHD) (1). The anomalous origin of the right pulmonary artery (AORPA) is more common than the left one and makes up 70-80% of these cases (2,3). AOPA can be isolated or frequently accompanied by other cardiac malformations (3).…”

Section: Introductionmentioning

confidence: 99%

Bir pulmoner arterin asendan aortadan anormal çıkışı: Nadir bir konjenital kalp hastalığı

Şengül¹

2023

Jour Umraniye Pediatr

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Objective: Anomalous origin of the pulmonary artery from the aorta (AOPA) is a rare cardiac anomaly. This study aimed to define the clinical characteristics, diagnostic features, management, and follow-up of pediatric patients diagnosed with AOPA. Material and Methods: We retrospectively reviewed children diagnosed with AOPA from 2010 to 2023. Results: Thirteen children were diagnosed with AOPA over the study period. Seven patients were male (53.8%). At the initial examination, the patients' ages ranged from 11 days to 16 years, and their weights ranged from 3 to 43 kg. The anomalous branch was the right pulmonary artery in 10 patients and the left pulmonary artery in three patients. Five patients underwent catheter angiography, and nine underwent CT. In one patient, the diagnosis was misdiagnosed by the initial echocardiography, and the correct diagnosis was made by CT. Surgical correction of AOPA and associated cardiac abnormalities were performed in five patients. The time of surgery was a median of 2.5 months (range, 27 days-9 months). There were no peri/postoperative in-hospital deaths. Balloon angioplasty was performed in one patient due to significant RPA stenosis in the postoperative 4 th year. The median follow-up was 33 months (14-140 months). Conclusion: AOPA is a rare structural heart disease and can be accompanied by other complex congenital pathologies. Advanced multimodality imaging techniques can be used to not overlook the diagnosis of AOPA. Early diagnosis and prompt surgical repair of AOPA result in excellent survival and avoid the development of pulmonary vascular obstructive disease.

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“…Early diagnosis and treatment is thus essential for achieving a favorable long‐term prognosis. However, many patients in developing and underdeveloped countries fail to receive early diagnosis and intervention . Thus, older patients with AOPA are thought to have missed the opportunity for corrective surgery.…”

Section: Introductionmentioning

confidence: 99%