Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T20:33:46.797Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  27 August 2014

Supratim Sen ,
David S. Winlaw  and
Gary F. Sholler
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]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Vascular slingpartial pulmonary arterial slingpartial anomalous left pulmonary arteryleft pulmonary arterial sling
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Supplement 5 , June 2015 , pp. 1012 - 1014
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Marins, L, Anderson, RH, Aiello, VD. Extrapericardial origin of the entirety of the left pulmonary artery in the absence of a pulmonary arterial sling. Cardiovasc Pathol 2013; 22: e11–e13.Google Scholar
2. Bamman, JL, Ward, BH, Woodrum, DE. Aberrant left pulmonary artery: clinical and embryologic factors. Chest 1977; 72: 67–71.Google Scholar
3. Erickson, LC, Cocalis, MW, George, L. Partial anomalous left pulmonary artery: new evidence on the development of the pulmonary artery sling. Pediatr Cardiol 1996; 17: 319–321.Google Scholar
4. Collins, RT II, Weinberg, PM, Goldmuntz, E, Harris, M. Partial Anamalous Left Pulmonary Artery. Circulation 2009; 119: 2405–2407.Google Scholar
5. Ge, S, De Groff, CG, Knudson, O, Strain, J, Chan, KC. Noninvasive assessment of pseudo-pulmonary artery sling by echocardiography and computerized tomography. Circulation 2000; 103: E115–E116.Google Scholar
6. Anderson, RH, Chaudhry, B, Mohun, TJ, et al. Normal and abnormal development of the intrapericardial arterial trunks in humans and mice. Cardiovasc Res 2012; 95: 108–115.Google Scholar
7. Jue, KL, Raghib, G, Amplatz, K, Adams, P, Edwards, JE. Anomalous origin of left pulmonary artery from right pulmonary artery. Am J Roentgenol Radium Ther Nucl Med 1965; 95: 598–610.Google Scholar
Supplementary material: Image

Sen Supplementary Material

Figure S1

Download Sen Supplementary Material(Image)
Image 422.3 KB
Supplementary material: Image

Sen Supplementary Material

Figure S2

Download Sen Supplementary Material(Image)
Image 495.3 KB