Superior Mediastinal Mass Revealed as Bronchopulmonary Sequestration Supplied by a Branch of the Left Pulmonary Artery

A 10-day-old boy was transferred to our hospital due to tachypnea. Patent ductus arteriosus (PDA), 4.8 mm in diameter, with small ASD was diagnosed on echocardiography. Surgical ligation of the ductus was performed after failure of three cycles of ibuprofen. However, the ductus remained open on routine postoperative echocardiography on the second postoperative day, and chest CT revealed inadvertent ligation of the left pulmonary artery (LPA) rather than the PDA. Emergent operation successfully reopened the clipped LPA and ligated the ductus on the same (second postoperative) day.<br />Mechanical ventilator support was weaned on postoperative day 21, and the baby was discharged on postoperative day 47 with a normal left lung shadow.

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Aberrant origin of the left pulmonary artery, congenital tracheal stenosis and ring-sling complex (part I)

The Bulletin of Bakoulev Center Cardiovascular Diseases ◽

10.24022/1810-0694-2018-19-1-14-27 ◽

2018 ◽

Vol 19 (1) ◽

pp. 14-27

Author(s):

V.V. Bazylev ◽

A.E. Chernogrivov ◽

I.E. Chernogrivov

Keyword(s):

Pulmonary Artery ◽

Tracheal Stenosis ◽

Left Pulmonary Artery ◽

Congenital Tracheal Stenosis ◽

Complex Part

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Ligation of left pulmonary artery instead of patent ductus arteriosus

Cardiology in the Young ◽

10.1017/s1047951120002784 ◽

2020 ◽

Vol 30 (12) ◽

pp. 1943-1945

Author(s):

Semih Murat Yucel ◽

Irfan Oguz Sahin

Keyword(s):

Surgical Treatment ◽

Pulmonary Artery ◽

Patent Ductus Arteriosus ◽

Surgical Complication ◽

Ductus Arteriosus ◽

Left Pulmonary Artery ◽

Artery Ligation ◽

Surgical Closure ◽

Post Operative Period ◽

Patent Ductus

AbstractDuctus arteriosus is an essential component of fetal circulation. Due to occurring changes in the cardiopulmonary system physiology after birth, ductus arteriosus closes. Patent ductus arteriosus can be closed by medical or invasive (percutaneous or surgical) treatment methods. Percutaneous or surgical closure of patent ductus arteriosus can be performed for the cases that medical closure failed. Surgical treatment is often preferred method for closure of patent ductus arteriosus in the neonatal period. The most common surgical complications are pneumothorax, recurrent laryngeal nerve injury, bleeding, and recanalisation. A very rare surgical complication is left pulmonary artery ligation that has been presented in a few cases in the literature. Echocardiography control should be performed in the early post-operative period, especially in patients with clinical suspicion. If reoperation is required, it should never be delayed. We report a newborn patient whose left pulmonary artery ligated accidentally during patent ductus arteriosus closure surgery and surgical correction of this complication at the early post-operative period.

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Spontaneous pulmonary artery thrombus in a neonate

The Egyptian Heart Journal ◽

10.1186/s43044-021-00167-4 ◽

2021 ◽

Vol 73 (1) ◽

Author(s):

Y. S. Shrimanth ◽

Krishna Prasad ◽

Adari Appala Karhtik ◽

Parag Barwad ◽

C. R. Pruthvi ◽

...

Keyword(s):

Pulmonary Artery ◽

Respiratory Distress ◽

Disease Risk ◽

Maternal Diabetes ◽

Left Pulmonary Artery ◽

Pulmonary Angiography ◽

Haemodynamic Instability ◽

Artery Thrombosis ◽

Heart Disease Risk Factors ◽

Heart Disease Risk

Abstract Background Pulmonary artery thrombosis is rare in neonates and mimics as persistent pulmonary hypertension or congenital heart disease. Risk factors include septicemia, dehydration, polycythemia, maternal diabetes, asphyxia, and inherited thrombophilias. They present with cyanosis and respiratory distress. Careful echocardiogram assessment helps in identifying the thrombus in the pulmonary artery and its branches. Computed tomography pulmonary angiography confirms the diagnosis. Case presentation We present a case of term neonate who presented with respiratory distress and cyanosis and a detailed echocardiogram revealed thrombus in the origin of left pulmonary artery. The neonate was managed initially with unfractionated heparin and later with low molecular weight heparin with which there was significant resolution of the thrombus Conclusion Spontaneous pulmonary artery thrombosis though rare should be suspected in any cyanotic neonate with respiratory distress. Management in these cases depends on the haemodynamic instability and lung ischemia.

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Type 2 bridging bronchus with left pulmonary artery sling

Cardiology in the Young ◽

10.1017/s1047951121001372 ◽

2021 ◽

pp. 1-3

Author(s):

Amna Al-Arnawoot ◽

John Kavanagh ◽

Elsie T. Nguyen

Keyword(s):

Pulmonary Artery ◽

Male Patient ◽

Adult Male ◽

Left Pulmonary Artery ◽

Pulmonary Artery Sling ◽

Bridging Bronchus ◽

Left Pulmonary Artery Sling ◽

Airway Anomalies ◽

Adult Male Patient

Abstract Bridging bronchi are the rarest of the major airway anomalies reported in the literature. In this brief report, we present a case of a symptomatic adult male patient presenting with a type 2 bridging bronchus associated with left pulmonary artery sling.

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