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Ann Thorac Surg 1998;66:251-252
© 1998 The Society of Thoracic Surgeons

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Case Reports

Unilateral absence of pulmonary artery and ventricular septal defect in an infant

^a Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, Tokyo, Japan
^b Department of Pediatric Surgery, Japanese Red Cross Medical Center, Tokyo, Japan
^c Department of Pediatrics, Japanese Red Cross Medical Center, Tokyo, Japan
^d Department of Pathology, Japanese Red Cross Medical Center, Tokyo, Japan

Accepted for publication January 30, 1998.

Address reprint requests to Dr Imanaka, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113, Japan

A 2-month-old boy was diagnosed as having a rare combination of absence of left pulmonary artery and ventricular septal defect. He underwent intracardiac repair at the age of 8 months. Reconstruction of the left pulmonary artery was impossible because it could not be visualized through a median sternotomy. Although his early postoperative course was uneventful, he needed ipsilateral pneumonectomy 3 months later because of unremitting hemoptysis. Hilar left pulmonary artery, which used to exist, was not found even by histologic examination.

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