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J Thorac Cardiovasc Surg 2008;136:1085-1087
© 2008 The American Association for Thoracic Surgery

Brief Communication

Partial left pulmonary artery sling associated with multiple ventricular septal defects: A rare congenital anomaly

C. Tissot, MD, J.R. Darst, MD, A.K. Kaza, MD, A.K. Younoszai, MD, E. da Cruz, MD*

Heart Institute, Department of Pediatrics, The Children's Hospital of Denver, University of Colorado at Denver & Health Sciences Center, Denver, Colo

Received for publication October 22, 2007; accepted for publication December 14, 2007.

* Address for reprints: Eduardo da Cruz, MD, Director, Cardiac Intensive Care Unit, Associate Professor of Pediatrics, The Children's Hospital of Denver, University of Colorado at Denver & Health Sciences Center, 13123 E 16th Ave, Aurora-Denver, CO 80045. (Email: dacruz.eduardo@tchden.org).

The first 20% of the full text of this article appears below.

Partial anomalous left pulmonary artery is a rare condition. We present a case of partial left pulmonary artery sling, associated with multiple ventricular septal defects, where the lower posterior branch arises from the right pulmonary artery.

Clinical Summary

A premature male infant of 30 week's gestation was delivered abdominally in an outreach hospital. He was intubated in the delivery room, and surfactant was administered. Clinical examination revealed an imperforate anus, a cleft palate, the presence of two neonatal teeth, and dysmorphic facies. A malformative workup showed a small right pelvic kidney, severe left hydronephrosis, multiple "swiss cheese" ventricular septal defects, and a patent ductus arteriosus with bidirectional shunting. Neonatal hypothyroidism was also diagnosed. The neonate underwent a colostomy soon after birth and was extubated on the fourth day after birth. His clinical evolution during the first weeks of life showed progressive increased work of breathing with clinical signs of heart failure, motivating his transfer to our center.

Echocardiography performed on admission at 6 weeks after birth demonstrated the multiple ventricular septal defects with low velocity left-to-right shunt. Short-axis views of the heart demonstrated . . . [Full Text of this Article]






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