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a Division of Cardiac Surgery, University Hospital Center of Tirana, "Mother Teresa", Rruga e Dibres, Tirana, Albania
b Cattedra di Cardiochirurgia, University Hospital of Florence "Careggi", Viale Morgagni, 85, Firenze, 50134 Italy
(Email: edvinprifti@hotmail.com; mbonacchi@unifi.it).
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To the Editor:
We read with interest the article by Kajihara and colleagues [1] reporting a series of 8 patients with anomalous origin of the right pulmonary artery (AORPA) from the ascending aorta undergoing surgical correction. An AORPA is a rare and hazardous congenital malformation due to the surgical difficulties of implanting the AORPA to the main pulmonary artery (MPA). All the reported patients [1] underwent direct implantation except 1 who required the interposition of a synthetic graft. During a follow-up of 8 years, the authors identified 3 patient reoperations in this series and 3 other patients required catheter balloon angioplasty due to
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