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Martin Kostolny
Ergin Kocyildirim
Marc R. de Leval
Robert H. Anderson
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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:1917-1918
© 2005 The Society of Thoracic Surgeons

Case report

Anomalous Origin of the Right Pulmonary Artery From the Ascending Aorta With Fibrous Continuity to the Pulmonary Trunk

Martin Kostolny, MD * , Ergin Kocyildirim, MD, Marc R. de Leval, MD, Robert H. Anderson, MD

Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, and the Institute of Child Health/University College London, London, United Kingdom

Accepted for publication May 26, 2004.

* Address correspondence to Dr Kostolny, Cardiothoracic Unit, Great Ormond Street Hospital for Children, Great Ormond St, London WC1N 3JH, UK (Email: kostom{at}gosh.nhs.uk).

A 1-month-old patient was brought to our institution with clinical signs of pulmonary hypertension. Cross-sectional echocardiography suggested a diagnosis of aortopulmonary window. At the time of surgery, we found that the right pulmonary artery was arising anomalously from the left side of the ascending aorta, but was also connected to the pulmonary trunk by a fibrous cord. We reimplanted the right pulmonary artery into the pulmonary trunk, closing the resultant opening in the ascending aorta by direct suture. The postoperative course was uneventful. On follow-up, the patient is asymptomatic without medication.






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