Single origin of right and left pulmonary arteries from ascending aorta, with main pulmonary artery from right ventricle.

OBJECTIVE: This study investigated the cases in which the fetal ascending aorta is larger than the main pulmonary artery on the three-vessel view and aimed to determine the relationship between the larger ascending aorta and major cardiac anomalies.STUDY DESIGN: Pregnancies between 18-24 gestational weeks who underwent detailed second-trimester screening during 2015-2019 were evaluated. Cases whose fetal ascending aorta diameter was larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view were analyzed. Prenatal and postnatal echocardiography studies were performed for each case.RESULTS: Fetal ascending aorta diameter larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view was detected in 21 fetuses in a total of 3810 pregnancies (0.55%), and 10 (47.6%) of them had major congenital heart disease. The diagnosis of Tetralogy of Fallot, double outlet right ventricle, ventricular septal defect, pulmonary valve stenosis, and moderate to severe tricuspid regurgitation were confirmed with prenatal/postnatal echocardiography studies. The highest ratio of ascending aorta/main pulmonary artery was 1.4 in a fetus with a double outlet right ventricle and pulmonary valve stenosis.CONCLUSION: The fetal ratio of ascending aorta/main pulmonary artery larger than 1 on the three-vessel view may be a sign of certain cardiac anomalies. Nevertheless, this rate is not an indicator of a serious cardiac defect in all cases. Fetal advanced echocardiography and early postnatal cardiac evaluation should be done to confirm the diagnosis.

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Gastric wall fat falo sign as a risk factor for cardiovascular diseases

10.22541/au.160806868.80102350/v1 ◽

2020 ◽

Author(s):

Ali Kupeli ◽

Ethem Unver ◽

Gurkan Danisan ◽

Eser Bulut

Keyword(s):

Pulmonary Artery ◽

Gastric Wall ◽

Main Pulmonary Artery ◽

Pulmonary Arteries ◽

Left Pulmonary Artery ◽

Ascending Aorta ◽

Control Group ◽

Descending Aorta ◽

Cardiothoracic Ratio ◽

Halo Sign

A B S T R A C T Objective: To investigate the relationship between gastric wall fat halo sign and potentially associated cardiovascular disease (CVD) in thoracic computed tomography (CT). Material and Methods: Between October 2018 and June 2019, 62 patients with gastric wall fat halo sign and 97 controls were prospectively evaluated. Patient height, weight, body mass index (BMI), sex, age, ascending aorta, descending aorta, main pulmonary artery, right and left pulmonary artery, long and short cardiac axis and maximum transverse thorax diameters; and ascending, arcus, descending aorta and coronary artery calcium scores were recorded for the two groups. Results: No significant differences were found in sex, age, height, body weight or BMI between the two groups (p > 0.125). Patients with gastric wall fat halo sign had significantly larger diameters of the ascending aorta, the descending aorta, the main pulmonary artery, the right and left pulmonary arteries, and the short and long cardiac axes and a higher cardiothoracic ratio (CTR) than the control group (p < 0.001). Additionally, the calcium scores of the ascending, arcus, and descending aortas and the coronary arteries were significantly higher detected in patients group (p < 0.001). Conclusion: The gastric wall fat halo is the result of excessive fat accumulation and can be observed in overweight people, especially those with increased visceral fat tissue. Additionally, patients with a gastric wall fat halo have a higher cardiovascular risk because of increased vascular diameters, CTR, heart sizes and calcium scores.

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Retrieval of Port-A Catheter Fragment from the Main and Right Pulmonary Arteries 3 Years after Dislodgment

The Journal of Vascular Access ◽

10.1177/112972980800900413 ◽

2008 ◽

Vol 9 (4) ◽

pp. 296-298 ◽

Cited By ~ 5

Author(s):

M.I. Elkhoury ◽

W.D. Boeckx ◽

E.G. Chahine ◽

M.A. Feghali

Keyword(s):

Pulmonary Artery ◽

Right Ventricle ◽

Cancer Patients ◽

Right Atrium ◽

Main Pulmonary Artery ◽

Pulmonary Arteries ◽

Vena Cava ◽

Blood Stream ◽

Retrieval Method ◽

Percutaneous Retrieval

Vascular access (VA) is one of the serious problems that chemotherapy recipient cancer patients face. Fractures of catheter and cardiac migration rarely occur; the catheter fragments migrate distally along the blood stream finally lodging anywhere in the vena cava, right atrium, right ventricle, or the main pulmonary artery or one of its branches. Percutaneous retrieval method is always suggested first.

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Single Origin of Right and Left Pulmonary Artery Branches from Ascending Aorta with Nonbranching Main Pulmonary Artery: Relevance to a New Understanding of Truncus Arteriosus

Pediatric Cardiology ◽

10.1007/s00246-001-0055-6 ◽

2002 ◽

Vol 23 (2) ◽

pp. 230-234 ◽

Cited By ~ 11

Author(s):

A. Vizcaino ◽

J. Campbell ◽

S. Litovsky ◽

R. Van Praagh

Keyword(s):

Pulmonary Artery ◽

Main Pulmonary Artery ◽

Left Pulmonary Artery ◽

Ascending Aorta ◽

Truncus Arteriosus ◽

Single Origin

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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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Rehabilitation of pulmonary arteries: hybrid treatment in the unilateral absence of the pulmonary artery.

10.22541/au.161314215.58819168/v1 ◽

2021 ◽

Author(s):

Jorge Cervantes-Salazar ◽

Jose García-Montes ◽

Henry Peralta-Santos ◽

Diego Ortega-Zhindón ◽

Juan Calderón-Colmenero

Keyword(s):

Pulmonary Artery ◽

Respiratory Infections ◽

Ductus Arteriosus ◽

Main Pulmonary Artery ◽

Pulmonary Arteries ◽

Surgical Reconstruction ◽

Hybrid Strategy ◽

Right Pulmonary Artery ◽

History Of ◽

Bilateral Ductus Arteriosus

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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