Neural effects on sinus rate and atrioventricular conduction produced by electrical stimulation from a transvenous electrode catheter in the canine right pulmonary artery.

Abstract Background Pulmonary hypertension (PH) is a known co-morbidity in West Highland white terriers (WHWTs) affected with canine idiopathic pulmonary fibrosis (CIPF). The pulmonary vein-to-right pulmonary artery ratio (PV/PA) has recently been described for the detection of pre-capillary PH in dogs. The objective of the present study was to estimate the prevalence of PH at diagnostic, in WHWTs affected with CIPF, by using PV/PA, in comparison with a group of healthy breed-matched controls (CTRLs). Additional study objective was to explore whether the presence of PH at initial diagnosis of CIPF impacted survival time in dogs treated with sildenafil. Results Twenty-five client-owned WHWTs presented with CIPF and 19 CTRLs were included in the study. PV/PA in either two-dimensional mode (2D) or time-motion mode or both were measured from cineloops in each dog. Dogs were classified according to PV/PA value into non/mild PH (PV/PA measured in 2D ≥ 0.7) or moderate/severe PH (PV/PA < 0.7). Survival data of WHWTs affected with CIPF were extracted from medical record to assess association between presence of PH at diagnosis and outcome. 60 % overall prevalence for moderate/severe PH was estimated in this cohort of WHWTs presented with CIPF vs. 5 % in CTRLS (P = 0.0002). The presence of moderate/severe PH at initial presentation was not associated with survival. Conclusions Results of the present study confirm a high prevalence of PH at diagnosis in WHWTs affected with CIPF and highlight the utility of PV/PA as a non-invasive surrogate for assessment of PH in this population.

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A Rare Case of Adult Aortopulmonary Window Combined with Anomalous Origin of the Right Pulmonary Artery from the Aorta Leading to Eisenmenger Syndrome

Journal of International Medical Research ◽

10.1177/0300060520984656 ◽

2021 ◽

Vol 49 (1) ◽

pp. 030006052098465

Author(s):

Mingyue Cui ◽

Binfeng Xia ◽

Heru Wang ◽

Haihui Liu ◽

Xia Yin

Keyword(s):

Pulmonary Artery ◽

Rare Case ◽

Congenital Heart ◽

Respiratory Tract Infections ◽

Anomalous Origin ◽

Aortopulmonary Window ◽

Eisenmenger Syndrome ◽

Right Pulmonary Artery ◽

The Right ◽

Tract Infections

Aortopulmonary window is a rare congenital heart disease that can increase pulmonary vascular resistance, exacerbate left-to-right shunt and lead to heart failure and respiratory tract infections. Most patients die during childhood. We report a 53-year-old male patient with a large aortopulmonary window combined with anomalous origin of the right pulmonary artery from the aorta, with Eisenmenger syndrome and without surgery.

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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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Absence of the fetal right pulmonary artery complicated with coarctation of the aorta: Prenatal and postnatal diagnosis

Echocardiography ◽

10.1111/echo.14470 ◽

2019 ◽

Vol 36 (9) ◽

pp. 1787-1789

Author(s):

Yu Wang ◽

Jiaqi Zhang ◽

Wei Feng ◽

You Wu ◽

Li Yang ◽

...

Keyword(s):

Pulmonary Artery ◽

Coarctation Of The Aorta ◽

Postnatal Diagnosis ◽

Right Pulmonary Artery

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Anomalous origin of the right pulmonary artery from the ascending aorta: Diagnosis by magnetic resonance imaging

CardioVascular and Interventional Radiology ◽

10.1007/bf02807236 ◽

1995 ◽

Vol 18 (2) ◽

pp. 118-121 ◽

Cited By ~ 9

Author(s):

Tae Kyoung Kim ◽

Yeon Hyoen Choe ◽

Hak Soo Kim ◽

Jae Kon Ko ◽

Young Tak Lee ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Pulmonary Artery ◽

Ascending Aorta ◽

Anomalous Origin ◽

Resonance Imaging ◽

Right Pulmonary Artery ◽

The Right

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Pulmonary Thromboembolism in a Child with Sickle Cell Hemoglobin D Disease in the Setting of Acute Chest Syndrome

Case Reports in Pediatrics ◽

10.1155/2013/875683 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Hazel Villanueva ◽

Sandeepkumar Kuril ◽

Jennifer Krajewski ◽

Aziza Sedrak

Keyword(s):

Pulmonary Artery ◽

Sickle Cell ◽

Pulmonary Thromboembolism ◽

Acute Chest Syndrome ◽

Standard Management ◽

Pulmonary Angiogram ◽

Right Pulmonary Artery ◽

Ct Pulmonary Angiogram ◽

Complete Thrombosis ◽

The Right

Introduction. Sickle cell hemoglobin D disease (HbSD) is a rare variant of sickle cell disease (SCD). Incidence of pulmonary thromboembolism (PE) and deep venous thrombosis (DVT) in children with HbSD is unknown. PE and DVT are known complications of SCD in adults but have not been reported in the literature in children with HbSD.Case Report. We are reporting a case of a 12-year-old boy with HbSD with acute chest syndrome (ACS) complicated by complete thrombosis of the branch of the right pulmonary artery and multiple small pulmonary artery emboli seen on computed tomography (CT) pulmonary angiogram and thrombosis of the right brachial vein seen on Doppler ultrasound. Our patient responded to treatment with anticoagulant therapy.Conclusion. There are no cases reported in children with HbSD disease presenting as ACS with pulmonary thromboembolism. We suggest that PE should be suspected in patients presenting with ACS who do not show improvement with standard management. CT pulmonary angiogram should be utilized for early diagnosis and appropriate management as there is no current protocol for management of PE/DVT in pediatric patients with SCD.

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