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Ann Thorac Surg 1997;64:537-539
© 1997 The Society of Thoracic Surgeons

Case Reports

Bilateral Branch Pulmonary Artery Obstruction Due to Kinking at Insertion Sites of Bilateral Ductus Arteriosus

Doff B. McElhinney, MS, V. Mohan Reddy, MD, Phillip Moore, MD, Frank L. Hanley, MD

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, University of California, San Francisco, San Francisco, California

Accepted for publication March 19, 1997.

Bilateral ductus arteriosus (or ligamentum arteriosum) with right aortic arch and isolation of the left subclavian artery is a rare anomaly of the aortic arch system. We report on a patient with complete atrioventricular septal defect, right aortic arch, bilateral ligamentum arteriosum, and isolation of the left subclavian artery in whom kinking at the ductal insertions caused bilateral branch pulmonary artery obstruction. Complete surgical repair was performed when the patient was 4 months of age, and the pulmonary artery obstructions were entirely relieved by ligation and division of both ducts without pulmonary arterioplasty.




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D. B. McElhinney, A. J. Parry, V. M. Reddy, F. L. Hanley, and P. Stanger
Left Pulmonary Artery Kinking Caused by Outflow Tract Dilatation After Transannular Patch Repair of Tetralogy of Fallot
Ann. Thorac. Surg., April 1, 1998; 65(4): 1120 - 1126.
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