HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Penkoske, P. A. Articles by Van Praagh, R. Search for Related Content PubMed PubMed Citation Articles by Penkoske, P. A. Articles by Van Praagh, R.

The Journal of Thoracic and Cardiovascular Surgery, Vol 85, 537-545, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Origin of pulmonary artery branch from ascending aorta. Primary surgical repair in infancy

PA Penkoske, AR Castaneda, DC Fyler and R Van Praagh

1. Surgical repair of origin of a pulmonary artery branch from the ascending aorta should be performed as early as possible in order to prevent death from congestive heart failure or the development of irreversible pulmonary vascular obstructive disease. 2. Deep hypothermic circulatory arrest greatly facilitates surgical repair of this lesion in infancy, as is illustrated by the three cases reported herein. 3. Direct anastomosis of the ectopic pulmonary artery branch to the main pulmonary artery is the surgical technique of choice. 4. Origin of the RPA or the LPA from the ascending aorta results from origin of the RPA or LPA from the aortic sac, instead of from the confluent sixth arches. Typically, the RPA has failed to migrate leftward because of abnormal development of the wall of the aortic sac, abnormal development of the sixth arches, or both. 5. Origin of the RPA or the LPA from the ascending aorta should be distinguished from origin of the "RPA" or of the "LPA" from the innominate artery or from the aortic arch via a PDA or a collateral artery.

This article has been cited by other articles:

				N. Kajihara, Y. Imoto, M. Sakamoto, Y. Ochiai, M. Kan-o, K. Joo, M. Watanabe, T. Yuge, T. Asou, Y. Takeda, et al. Surgical Results of Anomalous Origin of the Right Pulmonary Artery From the Ascending Aorta Including Reoperation for Infrequent Complications Ann. Thorac. Surg., April 1, 2008; 85(4): 1407 - 1411. [Abstract] [Full Text] [PDF]

				E. Levy, E. Milgalter, A. Nir, and A. J. Rein Repair of Anomalous Pulmonary Artery with Interposition Graft: Midterm Results Asian Cardiovasc Thorac Ann, September 1, 2005; 13(3): 217 - 221. [Abstract] [Full Text] [PDF]

				E. W. K. Peng, G. Shanmugam, K. J. D. Macarthur, and J. C. S. Pollock Ascending aortic origin of a branch pulmonary artery--surgical management and long-term outcome Eur J Cardiothorac Surg, October 1, 2004; 26(4): 762 - 766. [Abstract] [Full Text] [PDF]

				Y. Kosaka, H. Kurosawa, S. Hoshino, T. Shin'oka, Y. Isomatsu, and Y. Tsuji Surgery for unilateral absence of pulmonary artery using autologous tissue Ann. Thorac. Surg., October 1, 2003; 76(4): 1281 - 1283. [Abstract] [Full Text] [PDF]

				E. Prifti, A. Crucean, M. Bonacchi, M. Bernabei, M. Leacche, B. Murzi, F. Bartolozzi, and V. Vanini Postoperative outcome in patients with anomalous origin of one pulmonary artery branch from the aorta Eur J Cardiothorac Surg, July 1, 2003; 24(1): 21 - 27. [Abstract] [Full Text] [PDF]

				E. Prifti, G. Frati, A. Crucean, and V. Vanini A modified technique for repair of the anomalous origin of the right pulmonary artery from the ascending aorta Eur J Cardiothorac Surg, July 1, 2002; 22(1): 148 - 150. [Abstract] [Full Text] [PDF]

				G. M. Aru, W. P. English, C. H. Gaymes, and B. J. Heath Origin of the left pulmonary artery from the aorta: embryologic considerations Ann. Thorac. Surg., March 1, 2001; 71(3): 1008 - 1010. [Abstract] [Full Text] [PDF]

				J. P. Jacobs, J. A. Quintessenza, J. W. Gaynor, R. P. Burke, and C. Mavroudis Congenital Heart Surgery Nomenclature and Database Project: aortopulmonary window Ann. Thorac. Surg., April 1, 2000; 69(4): S44 - S49. [Abstract] [Full Text] [PDF]

				K. J. Salaymeh, T. R. Kimball, and P. B. Manning Anomalous pulmonary artery from the aorta via a patent ductus arteriosus: repair in a premature infant Ann. Thorac. Surg., April 1, 2000; 69(4): 1259 - 1261. [Abstract] [Full Text] [PDF]

				Y. Gybels, M. T.R. Grapow, A. Todorov, G. Wagner, and H.-R. Zerkowski Aberrant right pulmonary artery and double outlet ventricle: one-stage repair Ann. Thorac. Surg., February 1, 2000; 69(2): 630 - 632. [Abstract] [Full Text] [PDF]

				J. A. M. van Son and F. L. Hanley USE OF AUTOGENOUS AORTIC AND MAIN PULMONARY ARTERY FLAPS FOR REPAIR OF ANOMALOUS ORIGIN OF THE RIGHT PULMONARY ARTERY FROM THE ASCENDING AORTA J. Thorac. Cardiovasc. Surg., March 1, 1996; 111(3): 675 - 676. [Full Text]

				Y. Nakamura, H. Yasui, H. Kado, K. Yonenaga, Y. Shiokawa, and S. Tokunaga Anomalous origin of the right pulmonary artery from the ascending aorta Ann. Thorac. Surg., December 1, 1991; 52(6): 1285 - 1291. [Abstract] [PDF]

				C. H. Gumbiner, J. P. Cheatham, L. A. Latson, D. A. Danford, J. D. Kugler, P. J. Hofschire, and B. P. Wood Radiological Cases of the Month Arch Pediatr Adolesc Med, October 1, 1989; 143(10): 1209 - 1210. [Abstract] [PDF]

				S. A. M. Nashef, M. P. G. Jamieson, J. C. S. Pollock, and A. B. Houston Aortic Origin of Right Pulmonary Artery: Successful Surgical Correction in Three Consecutive Patients Ann. Thorac. Surg., November 1, 1987; 44(5): 536 - 538. [Abstract] [PDF]

				H.-H. Sievers, P. E. Lange, W. Radtcke, H.-J. Hahne, P. Heintzen, and A. Bernhard Repair of Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta Associated with Subtotal Left Cor Triatriatum Ann. Thorac. Surg., January 1, 1985; 39(1): 80 - 81. [Abstract] [PDF]