Surgery for unilateral absence of pulmonary artery using autologous tissue

Kosaka, Yoshimichi; Kurosawa, Hiromi; Hoshino, S; Shinoka, Toshiharu; Isomatsu, Yukihisa; Tsuji, Yasuhiro

doi:10.1016/s0003-4975(03)00521-6

Cited by 25 publications

(20 citation statements)

References 4 publications

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“…Since 2000, 11 additional cases of this anomality have been reported [3][4][5][6][7][8] . Only one of these documented cases underwent corrective surgery for a connection between the pulmonary trunk and right pulmonary artery, which hemodynamically restored the pulmonary artery tree 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Only one of these documented cases underwent corrective surgery for a connection between the pulmonary trunk and right pulmonary artery, which hemodynamically restored the pulmonary artery tree 3 . The connective material used in this seven year old patient was autologous pericardium.…”

Section: Discussionmentioning

confidence: 99%

“…The pulmonary artery reconstruction procedures described in literature 2,3,[9][10][11][12][13][14][15][16] , were performed on patients between the ages of two months and nine years with an average age of 34 months. Five were younger than 1 year old [9][10][11]13,14 , with an average of 6 months, three were between one and two years old 2,12,16 , with an average age of 18.6 months, and three were 7, 9 and 8 year old children 3,10,15 .…”

Section: Discussionmentioning

confidence: 99%

“…Five were younger than 1 year old [9][10][11]13,14 , with an average of 6 months, three were between one and two years old 2,12,16 , with an average age of 18.6 months, and three were 7, 9 and 8 year old children 3,10,15 . The overall mortality was 2 patients 9,15 (18.1%) from the 11 who underwent the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Since 1978, approximately 119 cases of this anomaly have been reported [1][2][3][4][5][6][7][8][9][10][11][12][13][14] . In these case reports, pulmonary artery reconstruction was performed on nine patients 2,3,9-14 plus two other cases published in the 1960's 15,16 .…”

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confidence: 99%

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Agenesia isolada da artéria pulmonar direita ou esquerda: avaliação da evolução natural e a longo prazo, após intervenção corretiva

Atik¹,

Tanamati²,

Kajita³

et al. 2006

Arq. Bras. Cardiol.

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objective: Unilateral pulmonary artery agenesis is an uncommon isolated anomaly and since 1978 only 119 cases have been reported. In general the condition presents as pulmonary hypertension (PH) in children and hemoptysis in adults. Interventions such as pulmonary artery reconstruction and lobectomies were performed in 17% of the cases. We analyzed four of these cases, two in natural evolution and two with late term PH regression after surgical correction.Methods: Three 22,10 and 35 month old male children and one 20 month old female child were included in the study. The 22 month old presented right-sided heart failure (RHF) and cyanosis; the 10 month old presented RHF and the other two presented exertion fatigue. All had PH symptoms, right ventricular strain on the EKG and cardiomegaly. Cardiac catheterization showed systemic pressures in the contralateral pulmonary artery, with right-sided agenesis in three of the children and left-sided agenesis in one child.results: Surgical correction of pulmonary artery continuity was possible in the 22 month old and 10 month old using a 7mm diameter Goretex conduit between the pulmonary arteries up to the hypoplastic contralateral pulmonary hilum. There was early and late regression of the PH signs and the children remained stable during follow-up to the ages of 7 and 2.5 years, respectively. The pressure ratio between the left and right ventricles was 30 and 40%, in both cases. Pulmonary perfusion increased from 8 to 44% and from 8 to 23%, in the two cases. The same procedure was scheduled for the other patients. conclusion:This technique has become the operation of choice for similar cases, that are rarely described in literature, even in the presence of severe PH and contralateral pulmonary artery hypoplasia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Agenesia isolada da artéria pulmonar direita ou esquerda: avaliação da evolução natural e a longo prazo, após intervenção corretiva

Atik¹,

Tanamati²,

Kajita³

et al. 2006

Arq. Bras. Cardiol.

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Successful One-Stage Repair of Unilateral Agenesis of Pulmonary Artery

2005

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Unilateral agenesis of the pulmonary artery is a rare congenital anomaly that is commonly associated with ventricular septal defect (VSD). Its clinical presentation is diverse, and if left untreated, it can lead to significant damage and even death. Several surgical techniques have been developed for its management, with variable results. We report the case of a 2-month-old infant with agenesis of the left pulmonary artery (PA) and VSD. One-stage primary surgical re-anastomosis was successful in establishing continuity to the main PA and preventing further damage to the heart.

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Ductal Origin of the Pulmonary Artery in Isolation: A Case Series

et al. 2010

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We present three cases of ductal origin of a pulmonary artery in the absence of associated structural heart disease. No geographic or genetic explanation for the temporal occurrence of these cases could be identified. This series illustrates the importance of angiography in achieving an accurate diagnosis as well as appropriate surgical planning. An understanding of the embryologic origin of this lesion supports the strategic approach at catheterization as well as the surgical choice of interposition graft versus direct anastomosis. We report our experience and highlight diagnostic and surgical approaches to such patients based on the underlying embryology of this congenital cardiac anomaly.

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Surgery for unilateral absence of pulmonary artery using autologous tissue

Cited by 25 publications

References 4 publications

Agenesia isolada da artéria pulmonar direita ou esquerda: avaliação da evolução natural e a longo prazo, após intervenção corretiva

Agenesia isolada da artéria pulmonar direita ou esquerda: avaliação da evolução natural e a longo prazo, após intervenção corretiva

Successful One-Stage Repair of Unilateral Agenesis of Pulmonary Artery

Ductal Origin of the Pulmonary Artery in Isolation: A Case Series

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