Large isolated major aortopulmonary collateral artery causing dilated left ventricle

Hoang, Le Xuan; Tuyen, Le Kim; Gia, Tran Minh; Anh, Ngo-Thi Kim; Dan, Do-Van Buu; Phuong, Phan Kim; Tin, Do Nguyen; Hoa, Tran Van; Duc, Nguyen Minh

doi:10.1016/j.radcr.2023.01.063

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…The main treatment option is closure, either by endovascular means or cardiac surgery. More recently, coil or device occlusion has become the preferred treatment method, with reports of successful outcomes [6] [16] [17]. Most published cases of isolated MAPCAs needed intervention after examination for clinical symptoms of heart failure or recurrent respiratory tract infections.…”

Section: Discussionmentioning

confidence: 99%

Isolated Major Aortopulmonary Collateral Artery Causing Heart Failure: Transcatheter Occlusion of Mapcas Using Amplatzer Vascular Plugs and Amplatzer Piccolo Occluders

Khelashvili,

Fkhkadze,

Shiryaev

et al. 2023

WJCD

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Major aortopulmonary collateral arteries (MAPCAs) are congenital vessels that arise from the aorta or its first-order branches and are distally connected to the pulmonary arterial vasculature, thereby providing pulmonary blood flow. MAPCAs are often associated with cyanotic congenital heart disease with decreased pulmonary blood flow. Isolated MAPCAs are rare in patients without congenital heart disease with structurally normal hearts. Sometimes, isolated congenital MAPCAs can occur without any lung disease. Isolated MAPCAs represent the occurrence of collaterals in the absence of underlying heart disease, which commonly presents as heart failure, recurrent respiratory tract infection, and pulmonary artery hypertension. We report a rare case of congestive heart failure in a 6-year-old patient with dual arterial supply to an otherwise normal right lung, with a normal bronchial tree, and a structurally normal heart. The patient was successfully managed by the closure of collaterals by Amplatzer vascular plugs II (AVPII) and Amplatzer Piccolo Occluders.

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Section: Discussionmentioning

confidence: 99%

Isolated Major Aortopulmonary Collateral Artery Causing Heart Failure: Transcatheter Occlusion of Mapcas Using Amplatzer Vascular Plugs and Amplatzer Piccolo Occluders

Khelashvili,

Fkhkadze,

Shiryaev

et al. 2023

WJCD

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Isolated Blind-Ended Major Aortic Pulmonary Collateral Artery With an Aneurysm in an Infant With Trisomy 21

Yonaga,

Kodama,

Takamura

et al. 2024

Cureus

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In infants, anomalous vessels from the aortic arch are often diagnosed as patent ductus arteriosus or bronchial arteries. We present the case of a 22-day-old female with trisomy 21, found to have a blind-ended aneurysmal vessel originating from the descending aorta. Echocardiography revealed bidirectional flow and computed tomography confirmed the aneurysm without peripheral vessel connection. Since the vessel was not connected to the pulmonary artery and did not course along the peripheral bronchi, we diagnosed the vessel as a blind-ended major aortopulmonary collateral artery. The vessel was treated with catheter embolization using an Amplatzer vascular plug (Abbott Laboratories, Chicago, IL, USA).

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Large isolated major aortopulmonary collateral artery causing dilated left ventricle

Cited by 2 publications

References 15 publications

Isolated Major Aortopulmonary Collateral Artery Causing Heart Failure: Transcatheter Occlusion of Mapcas Using Amplatzer Vascular Plugs and Amplatzer Piccolo Occluders

Isolated Major Aortopulmonary Collateral Artery Causing Heart Failure: Transcatheter Occlusion of Mapcas Using Amplatzer Vascular Plugs and Amplatzer Piccolo Occluders

Isolated Blind-Ended Major Aortic Pulmonary Collateral Artery With an Aneurysm in an Infant With Trisomy 21

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