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Ann Thorac Surg 1987;44:536-538
© 1987 The Society of Thoracic Surgeons

Articles

Aortic Origin of Right Pulmonary Artery: Successful Surgical Correction in Three Consecutive Patients

Samer A.M. Nashef, F.R.C.S.*, M.P.G. Jamieson, F.R.C.S. (CTh), J.C.S. Pollock, F.R.C.S., A.B. Houston, F.R.C.P.(G)

From the Department of Cardiac Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland

Accepted for publication May 27, 1987.

* Address reprint requests to Mr. Nashef, Department of Cardiac Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland G3 8SJ

Over a period of four years (1981 through 1984), 3 infants with aortic origin of the right pulmonary artery were seen in our surgical unit. Two infants had a persistent ductus arteriosus, which arose from the left subclavian artery in 1 of them who also had a right-sided aortic arch. There were no other associated abnormalities. Preoperative diagnosis was established by echocardiography in 2 infants. Anatomical surgical correction was undertaken in all 3 infants under cardiopulmonary bypass. There were no operative deaths. One child required reoperation at 15 months for anastomotic stenosis. All 3 children were well two to five years postoperatively with scintillographic evidence of normal ventilation and perfusion. Our experience indicates that this rare but severe congenital cardiac anomaly is easily diagnosed by echocardiography, and confirms that it is eminently amenable to surgical correction.






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