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Preferential flow to the right pulmonary artery after an early arterial switch procedure

Published online by Cambridge University Press:  19 August 2008

Scott E. Fletcher ,
Ameeta B. Martin  and
John P. Cheatham
Scott E. Fletcher*
Affiliation:
Department of Pediatric Cardiology, University of Nebraska Medical Center/Creighton University Medical Center and Omaha Childrens Hospital, Omaha
Ameeta B. Martin
Affiliation:
Department of Pediatric Cardiology, University of Nebraska Medical Center/Creighton University Medical Center and Omaha Childrens Hospital, Omaha
John P. Cheatham
Affiliation:
Department of Pediatric Cardiology, University of Nebraska Medical Center/Creighton University Medical Center and Omaha Childrens Hospital, Omaha
*
Dr. Scott E. Fletcher, Dept. Pediatric Cardiology, University of Nebraska Medical Center/Creighton University Medical Center/Omaha Childrens Hospital, 8301 Dodge, Omaha, NE 68114, USA. Tel. (402) 390-5612; Fax. (402) 390-3637.
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Abstract

Despite early arterial switch repair of complete transposition of the great vessels, significant physiologic aberrations may still occur. Two cases of vascular disease in the left pulmonary arterial system are described and potential mechanisms are discussed. We conclude a small number of children with simple transpostion may develop asymmetric patterns of pulmonary blood flow without evidence of anatomic narrowing of either arterial vessel.

Keywords

Complete transpositionpreferential flowarterial switch
Type
Brief Reports
Information
Cardiology in the Young , Volume 6 , Issue 3 , July 1996 , pp. 242 - 245
Copyright
Copyright © Cambridge University Press 1996

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References

1.Muster, AJ, Paul, MH,Grondelle, AV, Conway, JJ. Asymmetric distribution of the pulmonary blood flow between the right and left lungs in d-transposition of the great arteries. Am J Cardiol 1976: 38; 352–361.CrossRefGoogle ScholarPubMed
2.Vogel, M, Ash, J, Rowe, RD, Trusler, GA, Rabinovitch, M. Congenital unilateral pulmonary vein stenosis complicating transpo sition of the great arteries. Am J Cardiol 1984: 54; 166–171.Google Scholar
3.Aziz, KU, Paul, MH, Rowe, RD. Bronchopulmonary circula tion in d-transposition of the great arteries: possible role in genesis of accelerated pulmonary vascular disease. Am J Cardiol 1977: 39; 432–438.CrossRefGoogle Scholar
4.Wernovsky, G, Bridges, ND, Mandell, VS, Castaneda, AR, Perry, SB. Enlarged bronchial arteries after early repair of transposition of the great arteries. J Am Col Cardiol 1993: 21; 465–470.CrossRefGoogle ScholarPubMed