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Ann Thorac Surg 2003;76:1281-1283
© 2003 The Society of Thoracic Surgeons

Case report

Surgery for unilateral absence of pulmonary artery using autologous tissue

Yoshimichi Kosaka, MD*a, Hiromi Kurosawa, MDa, Shuichi Hoshino, MDa, Toshiharu Shin’oka, MDa, Yukihisa Isomatsu, MDa, Yasuhiro Tsuji, MDb

a Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan
b Department of Pediatrics, Tottori University, Tottori, Japan

Accepted for publication March 5, 2003.

* Address reprint requests to Dr Kosaka, Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan
e-mail: hzi03567{at}nifty.com

A 7-year-old girl with unilateral absence of the pulmonary artery underwent autologous tissue limited reconstructive surgery. The proximal portion of the artery was reconstructed by rotating a reverse U-shaped cut opposite the pulmonary arterial wall and covering the anterior surface with autologous pericardium. Follow-up catheterization at 5.8 years after surgery revealed no stenosis. This procedure could become one of the preferred methods for this unusual clinical condition.




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