Reanastomosis and rehabilitation of interrupted left pulmonary artery derived from atretic ductus

Cardiol Young. 2020 Apr;30(4):574-576. doi: 10.1017/S1047951120000396. Epub 2020 Feb 27.

Abstract

True absence of a branch pulmonary artery is rare. We identified a patient initially diagnosed with an absent left pulmonary artery at a previous hospital. Due to disagreement in the initial diagnosis, she had a diagnostic catheterisation, which revealed an isolated left pulmonary artery off the left innominate artery via a ductus. The ductus was recanalised with serial stenting and balloon dilatation followed by reanastomosis to the main pulmonary artery. In a patient who initially is diagnosed with an absent pulmonary artery, an alternative diagnosis, such as this case report, should be considered.

Keywords: Ductal left pulmonary artery; left innominate; recanalisation.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple*
  • Angiography
  • Angioplasty, Balloon / methods
  • Cardiac Catheterization / methods
  • Cardiac Surgical Procedures / methods*
  • Ductus Arteriosus, Patent / rehabilitation
  • Ductus Arteriosus, Patent / surgery*
  • Female
  • Humans
  • Infant
  • Pulmonary Artery / abnormalities
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery*
  • Reoperation
  • Stents*