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Right arrow Trachea and bronchi

Ann Thorac Surg 2002;74:569-571
© 2002 The Society of Thoracic Surgeons

Case report

Anterior translocation of the right pulmonary artery for airway obstruction caused by pulmonary hypertension

Masaaki Yamagishi, MD*a, Keisuke Shuntoh, MDa, Akiyuki Takahashi, MDa, Takeshi Shinkawa, MDa, Takako Miyazaki, MDa, Nobuo Kitamura, MDa

a Department of Pediatric Cardiovascular Surgery, Children’s Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication April 1, 2002.

* Address reprint requests to Dr Yamagishi, Department of Pediatric Cardiovascular Surgery, Children’s Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamigyo-ku, Kyoto, 602-8566 Japan
e-mail: myama{at}koto.kpu-m.ac.jp

Both the bronchi are often severely squeezed by the dilated pulmonary artery in infants with ventricular septal defect and pulmonary hypertension. To relieve the considerable residual airway obstruction, the right pulmonary artery is translocated anteriorly to the ascending aorta concomitantly with the intracardiac repair. This technique is a useful procedure for infants with intractable respiratory failure caused by a dilated pulmonary artery.




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[Abstract] [Full Text] [PDF]


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