Utility of Pre- and Postoperative Computed Tomography Angiography for the Evaluation of a Complex Vascular Ring

2019 ◽  
Vol 10 (5) ◽  
pp. 654-656
Author(s):  
Philip B. Dydynski ◽  
John S. Austin ◽  
Deborah Kozik ◽  
Bahaaldin Alsoufi
Keyword(s):  
Computed Tomography ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Computed Tomography Angiography ◽  
Vascular Ring ◽  
Left Pulmonary Artery ◽  
Aberrant Right Subclavian Artery ◽  
Descending Aorta ◽  
Right Pulmonary Artery ◽  
The Right

We present the case of a neonate born with an unusual complex vascular ring formed by a left-sided aortic arch that had retroesophageal course to join a right-sided descending aorta and a very large right-sided arterial ductus from the right pulmonary artery to the descending aorta. Associated finings included aortic arch hypoplasia, aberrant right subclavian artery, and aberrant origin of the left pulmonary artery from the aorta. We focus on the role of computed tomography angiography in the preoperative and postoperative assessment of this complex anomaly.

scholarly journals The Role of Computed Tomography in the Diagnosis of Rare Congenital Heart Disease: Interrupted Aortic Arch

2021 ◽  
Author(s):  
Yusen Feng ◽  
Lijuan Wang ◽  
Hui Liu ◽  
Guifang Sun ◽  
Bin Liu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Type A ◽  
Left Pulmonary Artery ◽  
Imaging Features ◽  
Type B ◽  
Descending Aorta ◽  
Trunk Diameter ◽  
Right Pulmonary Artery

Abstract Background: Interrupted aortic arch (IAA) is a rare congenital anomaly of the aortic arch and an anatomical interruption of the lumen between the ascending and descending aorta. Computed tomography (CT) has become a reliable noninvasive diagnostic method for congenital IAA .The purpose of this study was to To investigate the imaging features of IAA and improve the understanding and diagnosis of the disease. Methods: The imaging features and postoperative pathological data of 25 patients with IAA confirmed by dual-source computed tomography (DSCT) angiography were analyzed in this retrospective study. Results: Among the 25 patients with IAA, 15 were type A, 7 were type B, 0 were type C and D, and 2 were type E. The diameter of the pulmonary artery trunk in type A was larger than that in type B (P < 0.05). However, there were no significantly different between type A and type B abomg the ascending aorta diameter; descending aorta; ascending aorta/ descending aorta ratio; left pulmonary artery main trunk diameter; right pulmonary artery main trunk diameter; left pulmonary artery trunk/ pulmonary artery trunk ratio; right pulmonary artery trunk/pulmonary artery trunk ratio; left pulmonary artery trunk/right pulmonary artery trunk ratio.Conclusion: The imaging findings of IAA have typical and specific signs, and the types of IAA are not comprehensive. One type of patient identification can be added: patients who are dissected between the left common carotid artery and left subclavian artery opening, and the descending aorta is circulated by the chest collaterals. Patients with wide pulmonary artery in the IAA are usually type A patients. Patients with IAA after surgical repair require lifetime follow-up, mainly to monitor left ventricular outflow tract obstruction and recurrent aortic coarctation.

Non-confluent pulmonary arteries in a patient with pulmonary atresia and intact ventricular septum: ? a 5th aortic arch with a systemic-to-pulmonary arterial connection

2000 ◽  
Vol 10 (4) ◽  
pp. 419-422 ◽  
Author(s):  
Astolfo Serra ◽  
Francisco Chamie ◽  
R.M. Freedom
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Pulmonary Arteries ◽  
Pulmonary Atresia ◽  
Left Pulmonary Artery ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Right Pulmonary Artery ◽  
Pulmonary Arterial ◽  
The Right

AbstractMajor abnormalities of pulmonary circulation are uncommon in the patient with pulmonary atresia and intact ventricular septum. Non-confluent pulmonary arteries have only rarely been described in this setting. In this case report, we describe a patient in whom the pulmonary arteries are non-confluent, with the right pulmonary artery supplied through a right-sided arterial duct, and the left pulmonary artery most likely through a fifth aortic arch, thus providing a systemic-to-pulmonary arterial connection. We discuss the various forms of non-confluent pulmonary arteries in the setting of pulmonary atresia and intact ventricular septum.

scholarly journals Isolated unilateral absence of the right pulmonary artery in two cats visualized by computed tomography angiography

2016 ◽  
Vol 2 (2) ◽  
pp. 205511691667148
Author(s):  
Tyler JM Jordan ◽  
Brian A Scansen ◽  
Agnieszka M Kent ◽  
Lora S Hitchcock ◽  
Duncan S Russell
Keyword(s):  
Computed Tomography ◽  
Pulmonary Artery ◽  
Computed Tomography Angiography ◽  
Right Pulmonary Artery ◽  
The Right

scholarly journals Partial Anomalous Left Pulmonary Artery: A Case Report and Literature Review

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Chia Hung Chen ◽  
Pei San Tsai ◽  
Dao Chen Lin ◽  
Yu Peng Liu ◽  
Kun Shan Cheng
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Pulmonary Artery ◽  
Left Pulmonary Artery ◽  
Kabuki Syndrome ◽  
Anomalous Artery ◽  
Right Pulmonary Artery ◽  
Cardiovascular Defects ◽  
The Right

: Hereby, the case of an 8-month-old girl diagnosed with partial anomalous left pulmonary artery (PLPA) is presented. Echocardiography and computed tomography (CT) examination demonstrated that the anomalous artery originated from the right pulmonary artery supplying the left upper lobe. PLPA is sometimes associated with tracheobronchial anomaly and congenital cardiovascular defects. A relationship between PLPA and Kabuki syndrome has also been suggested. Echocardiography and CT angiography can be used as accurate tools for identifying an anomalous left pulmonary artery and adjacent abnormal anatomic structures.

Pathogenesis of solitary right aortic arch: a mass effect hypothesis based on observations of serial human embryonic sections

2015 ◽  
Vol 27 (2) ◽  
pp. 359-368
Author(s):  
Zhe W. Jin ◽  
Tomonori Yamada ◽  
Ji H. Kim ◽  
José F. Rodríguez-Vázquez ◽  
Gen Murakami ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Ductus Arteriosus ◽  
Pulmonary Arteries ◽  
Mass Effect ◽  
Left Pulmonary Artery ◽  
Sympathetic Ganglia ◽  
Right Aortic Arch ◽  
Descending Aorta ◽  
The Right

AbstractIn general, solitary right aortic arch carries the left-sided ductus arteriosus communicating between the left subclavian and pulmonary arteries or the right-sided ductus connecting the descending aorta to the left pulmonary artery. Serial sections of fifteen 5- to 6-week-old embryos and ten 8- to 9-week-old fetuses suggested that the pathogenesis was unrelated to inversion due to dysfunction in gene cascades that control the systemic left/right axis. With inversion, conversely, the ductus or the sixth pharyngeal arch artery should connect to the right pulmonary artery. The disappearance of the right aortic arch started before the caudal migration of the aortic attachment of the ductus. Sympathetic nerve ganglia developed immediately posterior to both aortae, with a single embryonic specimen showing a large ganglion at the midline close to the union of the aortic arches. These ganglia may interfere with blood flow through the distal left arch, resulting in the ductus ending at the descending aorta behind the oesophagus. In another fetus examined, a midline shift of the ductus course resulted in the trachea curving posteriorly. Therefore, solitary right arch is likely to accompany abnormalities of the surrounding structures. The timing and site of the obstruction should be different between types: an almost midline obstruction near the aortic union needed for the development of the left-sided ductus and a distal obstruction near the left subclavian arterial origin needed for the development of the right-sided ductus. A mass effect of the sympathetic ganglia may explain the pathogenesis of any type of anomalous ductus arteriosus shown in previous reports of the solitary right arch.

Blood Flow Velocity Profiles in Pulmonary Branch Arteries in Lambs

1995 ◽  
Vol 117 (2) ◽  
pp. 237-241
Author(s):  
H. Katayama ◽  
G. W. Henry ◽  
C. L. Lucas ◽  
B. Ha ◽  
J. I. Ferreiro ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Artery ◽  
Pulmonary Arteries ◽  
Maximum Velocity ◽  
Left Pulmonary Artery ◽  
Control Group ◽  
Pulsed Doppler Ultrasound ◽  
Right Pulmonary Artery ◽  
Blood Flow Velocities ◽  
The Right

We studied the detailed profiles of blood flow in the right and left pulmonary arteries using 20 MHz pulsed Doppler ultrasound equipment in a lamb model. Fourteen lambs aged four to six weeks were selected. In six lambs, monocrotaline pyrrole was injected parenterally to create pulmonary hypertension (PH group). Eight other lambs served as unaltered controls (control group). The blood flow velocities were sampled in 1mm increments along the anterior—posterior axis of the branch arteries. The maximum velocity of the forward flow in the left pulmonary artery was higher than that in the right pulmonary artery in the control group (71.7 ± 15.9cm/s vs 60.2 ± 13.5; p < 0.05). The fastest backward flow was located at the posterior position of the vessel in the right pulmonary artery in the control group. No significant bias in location was shown in the left pulmonary artery. Using indices of P90, acceleration time, P90*AcT, the velocity waveforms in the PH group were compared with those in the control group. In the left pulmonary artery, every index in the control group showed a significantly greater value that in the PH group. On the other hand, no significant differences were found between either group in the right pulmonary artery.

Anomalous origin of a pulmonary artery in a teenager with tetralogy of Fallot with associated double aortic arch and coronary arteriovenous fistula

2019 ◽  
Vol 29 (5) ◽  
pp. 727-729
Author(s):  
Vishal Agrawal ◽  
Parth Solanki ◽  
Ritesh Shah ◽  
Divyakant Parmar ◽  
Amit Mishra
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Tetralogy Of Fallot ◽  
Vascular Ring ◽  
Right Ventricular Outflow Tract ◽  
Left Pulmonary Artery ◽  
Ventricular Outflow Tract ◽  
Double Aortic Arch ◽  
Anomalous Origin ◽  
Tract Fistula

AbstractWe report the case of a 14-year-old female who had tetralogy of Fallot along with anomalous origin of the left pulmonary artery from the ascending aorta with co-dominant double aortic arch forming a complete vascular ring compressing the oesophagus along with a left main coronary artery to right ventricular outflow tract fistula. She underwent surgical correction without conduit placement.

Systemic arterial supply of the right lung with venous drainage to the pulmonary arterial circuit

2011 ◽  
Vol 21 (6) ◽  
pp. 710-712 ◽  
Author(s):  
Peter Fritsch ◽  
Freyja-Maria Smolle-Juettner ◽  
Andreas Gamillscheg
Keyword(s):  
Pulmonary Artery ◽  
Venous Drainage ◽  
Left Pulmonary Artery ◽  
Scimitar Syndrome ◽  
Arterial Supply ◽  
Respiratory Problems ◽  
Right Pulmonary Artery ◽  
Pulmonary Arterial ◽  
The Right ◽  
Systemic Arterial Supply

AbstractIn a girl suffering from “Scimitar syndrome”, a rerouting of the scimitar vein was performed at the age of 6 years, but no embolisation of the aberrant systemic vessel was done. She presented with recurring respiratory problems 13 years later. An angiography revealed an invert flow from the aberrant systemic vessel via the right pulmonary artery into the left pulmonary artery. After pneumonectomy, she recovered well.

Two Rare Vascular Rings With Ductal Origin of the Left Pulmonary Artery: A Previously Unrecognized Syndrome?

2016 ◽  
Vol 9 (3) ◽  
pp. 352-356
Author(s):  
Poonam P. Thankavel ◽  
Kristine J. Guleserian ◽  
Robert H. Anderson
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Clinical Course ◽  
Left Pulmonary Artery ◽  
Descending Aorta ◽  
Vascular Rings ◽  
Arterial Duct

We report two neonates with distal ductal origin of the left pulmonary artery who also had rare vascular rings comprised of a left aortic arch and right arterial duct with a midline/rightward descending aorta. To the best of our knowledge, this association has not previously been described, although other abnormalities of the left pulmonary artery in the setting of vascular rings have been reported. We review the embryology, utility of imaging, and clinical course.

Sign in / Sign up

Export Citation Format

Share Document