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Partial anomalous left pulmonary artery: report of two cases and review of literature

Published online by Cambridge University Press:  27 August 2014

Supratim Sen*
Affiliation:
Institute of Cardiac Sciences, The Mission Hospital, Durgapur, West Bengal, India
David S. Winlaw
Affiliation:
Heart Centre for Children, The Children’s Hospital at Westmead, Sydney Children’s Hospitals Network, Sydney, New South Wales, Australia Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
Gary F. Sholler
Affiliation:
Heart Centre for Children, The Children’s Hospital at Westmead, Sydney Children’s Hospitals Network, Sydney, New South Wales, Australia Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
*
Correspondence to: Dr S. Sen, Consultant Paediatric Cardiologist, Institute of Cardiac Sciences, The Mission Hospital, Durgapur 713212, West Bengal, India. Tel: +91 8080329189; Fax: +91 33 23598189; E-mail: [email protected]

Abstract

We describe two cases of anomalous origin of the left lower-lobe pulmonary artery from the right pulmonary artery. The primary diagnosis was mitral atresia, hypoplastic left ventricle, aortic arch hypoplasia in the first child, and tetralogy of Fallot in the second. In both cases, the pulmonary trunk gave rise to a left pulmonary artery in the normal position. In addition, a second branch of the left pulmonary artery arose from the right pulmonary artery, and passed posterior and inferior to the left main or upper-lobe bronchus to supply the left lower lobe. In this review, we compare our findings with previously reported examples of this extremely rare cardiac malformation, and discuss possible embryological explanations for the lesion.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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References

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Supplementary material: Image

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