Prenatal diagnosis of the ductal origin of the distal right pulmonary artery with bilateral ductus arteriosus using STIC‐HD live flow rendering mode

We present two patients with history of recurrent respiratory infections, fatigue and sweating. They were diagnosed with absence of connection between the main pulmonary artery (MPA) and right pulmonary artery (RPA) and bilateral ductus arteriosus, with the RPA originating from the ductus arteriosus. Treatment was approached with a hybrid strategy: percutaneous intraluminal angioplasty with a right intraductal stent and device closure of the left ductus arteriosus and followed by surgical reconstruction with interposition of a graft from RPA to MPA. Both patients had a favorable outcome.

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Disconnection of the Right Pulmonary Artery With Bilateral Ductus Arteriosus

Revista Española de Cardiología (English Edition) ◽

10.1016/s1885-5857(10)70048-7 ◽

2010 ◽

Vol 63 (2) ◽

pp. 243-245

Author(s):

David Crespo Marcos ◽

Javier Adrián Gutiérrez ◽

Teresa Álvarez Martín ◽

José Luis Zunzunegui Martínez

Keyword(s):

Pulmonary Artery ◽

Ductus Arteriosus ◽

Right Pulmonary Artery ◽

Bilateral Ductus Arteriosus ◽

The Right

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Bilateral Ductus Arteriosus With Isolated Right Pulmonary Artery

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135110392250 ◽

2011 ◽

Vol 2 (2) ◽

pp. 308-311

Author(s):

John A. Hawkins ◽

Jeanne H. Cleveland ◽

Brian Erickson ◽

Michael D. Puchalski ◽

Lloyd Y. Tani

Keyword(s):

Pulmonary Artery ◽

Ductus Arteriosus ◽

Right Pulmonary Artery ◽

Bilateral Ductus Arteriosus

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Pulmonary atresia with a ventricular septal defect and left pulmonary artery discontinuity: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02750-4 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Hyun-Hwa Cha ◽

Hae Min Kim ◽

Won Joon Seong

Keyword(s):

Pulmonary Artery ◽

Subclavian Artery ◽

Septal Defect ◽

Left Subclavian Artery ◽

Ductus Arteriosus ◽

Main Pulmonary Artery ◽

Pulmonary Arteries ◽

Pulmonary Atresia ◽

Left Pulmonary Artery ◽

Right Pulmonary Artery

Abstract Background Unilateral pulmonary artery discontinuity is a rare malformation that is associated with other intracardiac abnormalities. Cases accompanied by other cardiac abnormalities are often missed on prenatal echocardiography. The prenatal diagnosis of isolated unilateral pulmonary artery discontinuity can also be delayed. However, undiagnosed this malformation would have an effect on further prognosis. We report our case of a prenatal diagnosis of pulmonary atresia with ventricular septal defect and left pulmonary artery discontinuity. Case presentation A 33-year-old Asian woman visited our institution at 24 weeks of gestation because of suspected fetal congenital heart disease. Fetal echocardiography revealed a small atretic main pulmonary artery giving rise to the right pulmonary artery without bifurcation and the left pulmonary artery arising from the ductus arteriosus originating from the left subclavian artery. The neonate was delivered by cesarean section at 376/7 weeks of gestation. Postnatal echocardiography and multidetector computed tomography showed a right aortic arch, with the small right pulmonary artery originating from the atretic main pulmonary artery and the left pulmonary artery originating from the left subclavian artery. Patency of the ductus arteriosus from the left subclavian artery was maintained with prostaglandin E1. Right ventricular outflow tract reconstruction and pulmonary angioplasty with Gore-Tex graft patch was performed 25th day after birth. Unfortunately, the neonate died because of right heart failure 8 days postoperation. Conclusion There is a possibility that both pulmonary arteries do not arise from the same great artery (main pulmonary artery or common arterial trunk). Therefore, clinicians should check the origin of both pulmonary arteries.

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Neonatal transcatheter closure of a right pulmonary artery to left atrium fistula

Cardiology in the Young ◽

10.1017/s1047951121000068 ◽

2021 ◽

pp. 1-3

Author(s):

Claire Bertail-Galoin

Keyword(s):

Prenatal Diagnosis ◽

Pulmonary Artery ◽

Left Atrium ◽

Neonatal Period ◽

Transcatheter Closure ◽

Rare Entity ◽

Amplatzer Duct Occluder ◽

Right Pulmonary Artery ◽

The Right ◽

Surgical Treatments

Abstract A fistula between the pulmonary artery and the left atrium is a rare entity and its diagnosis is uncommon in the neonatal period. There are more reported surgical treatments in the literature than with a transcatheter closure. We report the case of a prenatal diagnosis of a large fistula between the right pulmonary artery and the left atrium with successful transcatheter closure with an Amplatzer duct occluder II 6/4 mm.

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Prenatal diagnosis of anomalous origin of the right pulmonary artery from the ascending aorta

Cardiology in the Young ◽

10.1017/s1047951102000392 ◽

2002 ◽

Vol 12 (2) ◽

pp. 186-188 ◽

Cited By ~ 6

Author(s):

Mi-Jin Jung ◽

Shi-Joon Yoo

Keyword(s):

Prenatal Diagnosis ◽

Pulmonary Artery ◽

Ascending Aorta ◽

Anomalous Origin ◽

Fetal Ultrasound ◽

Cardiac Screening ◽

Rare Anomaly ◽

Right Pulmonary Artery ◽

The Right

We report a case of anomalous origin of the right pulmonary artery from the ascending aorta that was diagnosed by fetal ultrasound at 21 weeks of gestation. The clue to the diagnosis was present in the three-vessel view, this being one of the views that we use for fetal cardiac screening. The anomaly was corrected surgically at 11 days of age. We discuss the importance of prenatal diagnosis in the management of this rare anomaly.

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Prenatal diagnosis of complete transposition of the great arteries and dextrocardia in the fetus with left juxtaposition of the atrial appendages and subpulmonary ventricular septal defect

10.21516/2413-1458-2020-19-4-306-316 ◽

2020 ◽

Author(s):

I.N. Daminov

Keyword(s):

Prenatal Diagnosis ◽

Ventricular Septal Defect ◽

Pulmonary Artery ◽

Septal Defect ◽

Arterial Switch Operation ◽

Ductus Arteriosus ◽

Health Improvement ◽

Complete Transposition ◽

Switch Operation ◽

Third Degree Atrioventricular Block

The case of prenatal ultrasound diagnosis of complete transposition of the great arteries and dextrocardia in the fetus with left juxtaposition of the atrial appendages and subpulmonary ventricular septal defect in the third trimester is presented. The postnatal echocardiography confirmed the prenatal diagnosis. At 2 months of life, first surgical intervention under extracorporeal circulation was performed: the arterial switch operation and narrowing of the dilated pulmonary artery root, closure of patent foramen ovale, ligation of patent ductus arteriosus. At the age of 8 months, the child underwent a second operation: closure of ventricular septal defect with the transventricular approach and plastic surgery of the pulmonary artery. After an operation third-degree atrioventricular block (bradyarrhythmias) has occurred and 2 weeks later patient's health improvement was achieved, and he underwent implantation of a single-chamber pacemaker. Currently, the child is 2 years old, physical and mental development corresponds to age and he remains under the supervision of specialists.

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