Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta
2004; Wiley; Volume: 19; Issue: 2 Linguagem: Inglês
10.1111/j.0886-0440.2004.04023.x
ISSN1540-8191
AutoresEdvin Prifti, Massimo Bonacchi, Bruno Murzi, Adrian Crucean, Marzia Leacche, Massimo Bernabei, Fabio Bartolozzi, Nadia S. Nathan, Vittorio Vanini,
Tópico(s)Pulmonary Hypertension Research and Treatments
ResumoJournal of Cardiac SurgeryVolume 19, Issue 2 p. 103-112 Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta Edvin Prifti M.D., Edvin Prifti M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, Italy Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorMassimo Bonacchi M.D., Massimo Bonacchi M.D. Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorBruno Murzi M.D., Bruno Murzi M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorAdrian Crucean M.D., Adrian Crucean M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorMarzia Leacche M.D., Marzia Leacche M.D. Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorMassimo Bernabei M.D., Massimo Bernabei M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorFabio Bartolozzi M.D., Fabio Bartolozzi M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorNadia S. Nathan M.D., Nadia S. Nathan M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorVittorio Vanini M.D., Vittorio Vanini M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this author Edvin Prifti M.D., Edvin Prifti M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, Italy Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorMassimo Bonacchi M.D., Massimo Bonacchi M.D. Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorBruno Murzi M.D., Bruno Murzi M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorAdrian Crucean M.D., Adrian Crucean M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorMarzia Leacche M.D., Marzia Leacche M.D. Division of Cardiac Surgery, Careggi Hospital, Florence, ItalySearch for more papers by this authorMassimo Bernabei M.D., Massimo Bernabei M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorFabio Bartolozzi M.D., Fabio Bartolozzi M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorNadia S. Nathan M.D., Nadia S. Nathan M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this authorVittorio Vanini M.D., Vittorio Vanini M.D. Department of Pediatric Cardiac Surgery, "G. Pasquinucci" Hospital, Massa, ItalySearch for more papers by this author First published: 16 March 2004 https://doi.org/10.1111/j.0886-0440.2004.04023.xCitations: 33 Address for correspondence: Massimo Bonacchi, M.D., Divisione di Cardiochirurgia, Policlinico di Careggi, Viale Morgagni, 85, 50134 Careggi Firenze, Italy. Fax: 00 39 0573 985427; e-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Abstract Objectives: The aim was to review our experience with the surgical repair of the anomalous origin of the right pulmonary artery (AORPA) from the aorta. Materials and Method: Between January 1991 and March 2001, five patients with AORPA underwent surgical correction. One patient presented isolated AOPA from the aorta. Implantation of the anomalous PA to the main PA trunk was performed by (1) direct anatomosis employing an autologous pericardial patch in two patients; (2) using an aortic flap in two patients with AORPA; and (3) using an aortic and pulmonary flaps in another patient. The mean follow-up time was 27 months. Results: One patient died due to progressive heart failure unresponsive to inotropic support. Early postoperative pulmonary hypertension crisis was identified in patient 4, that was managed by intravenous prostacyclin. The same patient necessitated mechanical ventilation for 11 days. The mean residual gradient for all survivors was 9.5 ± 4 mmHg. The postoperative Tc-99 m scintigraphy demonstrated 72 ± 4.5(%) lung perfusion. At follow-up the survival was 100%. None of the followed patients required reoperation. Conclusion: The AORPA from the aorta is a rare but important entity, necessitating a scrupulous preoperative and intraoperative evaluation. 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