Absence Of Left Pulmonary Artery Research Articles

Truncus Arteriosus with Complete Absence of Left Pulmonary Artery: A Case Report with Review of Literature

Truncus Arteriosus with Complete Absence of Left Pulmonary Artery: A Case Report with Review of Literature

Acquired pulmonary atresia following placement of modified Blalock-Taussig shunt in tetralogy of Fallot

A 6-month-old infant developed pulmonary atresia following placement of a modified Blalock-Taussig shunt for tetralogy of Fallot with absent left pulmonary artery. This condition was diagnosed by failure of opacification of the pulmonary trunk and the right pulmonary artery following an injection of contrast in the right ventricle. At surgery the pulmonary valve was shown to be patent and free of calcifications. Acquired pulmonary atresia may complicate the clinical course of young children following the construction of a modified Blalock-Taussig shunt.

Vascular ring: Left cervical aortic arch, right descending aorta, and right ligamentum arteriosum

A rare form of vascular ring is presented consisting of a left cervical aortic arch, a right descending aorta, and a right ligamentum arteriosum in a symptomatic infant. The planning of its surgical interruption was complicated by absence of the left pulmonary artery and hypoplasia of the left lung. This case provides an exception to the surgical axiom that all vascular rings can be divided through the left side of the chest. It reveals the difficulty in evaluation of these lesions by barium swallow alone and emphasizes the importance of preoperative angiography to correctly define the anatomy. The surgical approach to a patient with an absent left pulmonary artery and hypoplastic lung requiring a contralateral thoracotomy is presented.

Tetralogy of Fallot in adults: A report on 147 patients

Presented here is the clinical and hemodynamic profile of 147 patients, above the age of 18 with tetralogy of Fallot. Cardiac catheterization and selective cineangiocardiography were performed in all. Infundibular pulmonary stenosis, a subaortic large infracristal ventricular septal defect, mitral-aortic fibrous continuity and equal pressures in both the ventricles and aorta were considered mandatory for the diagnosis of tetralogy of Fallot. Cardiac enlargement was seen in 25.8 per cent of the patients, and 15.6 per cent were in congestive cardiac failure; 9.5 per cent had systemic hypertension, and aortic regurgitation was present in 6.7 per cent. A reticular pattern in the lung fields due to bronchial collaterals was seen in 23.1 per cent. The incidence of right aortic arch (19.9 per cent), absent left pulmonary artery (2.8 per cent), absent right pulmonary artery (0.7 per cent) and dextrocardia (1.4 per cent) is brought out. The right atrial mean pressure was increased in 4.8 per cent and a prominent “a” wave greater than 10 mm Hg was present in 10.9 per cent. The right ventricular end-diastolic pressure was increased in 23.8 per cent and the left ventricular end-diastolic pressure in 25.9 per cent of the patients.

Absent left pulmonary artery, right-sided aortic arch and patent ductus arteriosus with right to left shunt

A patient is reported with an absent left pulmonary artery, right-sided aortic arch, patent ductus arteriosus and right to left shunt. A brief review of the embryology of the aortic arches is presented, and a possible embryologic basis for this condition is postulated. An extensive review of the literature reveals only 1 similar case with this unusual combination of cardiovascular anomalies, and in that patient a predominant left to right shunt was present.

CONGENITAL ABSENCE OF LEFT PULMONARY ARTERY WITH PATENT DUCTUS ARTERIOSI; TREATMENT BY CLOSURE OF DUCTUS AND LEFT PNEUMONECTOMY.

ANGIOCARDIOGRAPHY permits the diagnosis of congenital absence of a main branch of the pulmonary artery during life. The first patient with congenital absence of a right pulmonary artery had angiocardiography at Cornell Medical Center in 1948, and was reported in 1953. 1 The first publication on this subject after using angiocardiography, however, was made by Madoff and associates 2 in 1952. Recent reviews indicate that there are now well over 100 cases of congenital absence of a pulmonary artery in the literature. 3-10 Whereas, congenital absence of the right pulmonary artery is often isolated and uncomplicated, congenital absence of the left pulmonary artery is frequently accompanied by other congenital cardiovascular anomalies. 3 In this report, congenital absence of the left pulmonary artery associated with a right aortic arch and patent right- and left-sided ductus arteriosus is described. Treatment consisted of ligation and division of the ductus, and left pneumonectomy. Report

Cardio-respiratory studies in a patient with an absent left pulmonary artery.

Cardio-respiratory studies in a patient with an absent left pulmonary artery.

Absent Left Pulmonary Artery and Right-sided Aortic Arch in Eisenmenger's Complex

Absent Left Pulmonary Artery and Right-sided Aortic Arch in Eisenmenger's Complex

Tetralogy of fallot with absent left pulmonary artery: Report of a case with anomalous development of the right hilar vasculature and nonfunctioning right lung

A case of tetralogy of Fallot with absence of the left pulmonary artery and nonfunctioning right lung with a previously undescribed developmental anomaly of the right hilar vasculature is reported. Life was maintained for 7 weeks by the left lung which received blood from the aorta through what appeared to be a patent ductus arteriosus.

Congenital Absence of Left Pulmonary Artery

Congenital Absence of Left Pulmonary Artery

Congenital Absence of Left Pulmonary Artery

Congenital Absence of Left Pulmonary Artery

Congenital absence of left pulmonary artery.

Congenital absence of left pulmonary artery.

Absence of the left pulmonary artery: A report of six cases with autopsy findings in three

Three cases have been presented in which an absent left pulmonary artery was demonstrated at post-mortem examination. The findings in three living patients, presumed to have an absent left pulmonary artery, are also briefly reported. The literature has been reviewed, and eleven cases of absent right or left pulmonary artery briefly commented upon. 1. 1. The principal anatomic features are as follows: 1.1. (a) Absence of the central or heart-end of the left pulmonary artery with persistence of a normal intrapulmonary portion. This anomaly has been associated with a variety of cardiac malformations. Both in our own series and those in the literature, there is a high incidence of an aortic arch on the side opposite to the absent pulmonary artery. However, at least two of our living cases show the arch and the apparently absent artery on the same side. 1.2. (b) An anomalous obliterated vessel running from the left innominate artery to the hilus of the left lung, continuous with patent, normally distributed, elastic intrapulmonary arteries. Evidence has been presented to show that the closed part of the vessel is an obliterated left ductus arteriosus. Almost certainly, the ductus portion may, on occasion, remain patent, as judged from the cases in the literature, whether there is an absent right or left pulmonary artery. 1.3. (c) A normally developed but small left lung, the size possibly secondary in part to the decreased blood flow. 2. 2. The embryologic aspects of the anomaly have been discussed. 3. 3. The physiologic and diagnostic aspects of absence of one or other branch of the pulmonary artery have been discussed and the importance of such absence in surgical operations involving occlusion of one branch of the pulmonary artery was emphasized.