Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell's diverticulum
| Autor: | Ewelina Kwasniak, Mariusz Steffens, Maciej Chojnicki, Paweł Żelechowski, Jacek Juscinski, Aneta Szofer-Sendrowska, Ireneusz Haponiuk, Radoslaw Jaworski |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Aortic arch
medicine.medical_specialty pulmonary arteries discontinuity Interventional cardiology business.industry Left pulmonary artery Case Reports medicine.disease medicine.anatomical_structure Kommerell diverticulum anomalous origin of left pulmonary artery medicine.artery Internal medicine Pulmonary valve Ascending aorta Pulmonary artery medicine Cardiology Thoracic aorta Surgery tetralogy of Fallot Cardiology and Cardiovascular Medicine business Tetralogy of Fallot |
| Zdroj: | Kardiochirurgia i Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery |
| ISSN: | 1897-4252 1731-5530 |
| Popis: | Anomalies in development of the pulmonary valve, pulmonary trunk and peripheral pulmonary arteries are typical accompanying pathologies in patients with tetralogy of Fallot (ToF). Demanding for diagnostics and borderline for treatment is a condition colloquially called "discontinuous pulmonary arteries", while the main branches are supplied with systemic blood from the ascending aorta, aortic arch or descending thoracic aorta. We present a case of a one-year-old girl with ToF and anomalous origin of the left pulmonary artery (LPA) from Kommerell's diverticulum who underwent two-stage surgical therapy with the support of interventional cardiology. We conclude that early diagnosis of discontinuous pulmonary artery is crucial for choosing the optimal operative strategy. In our opinion, simultaneous anatomic intracardiac correction with direct pulmonary reconstruction seems reasonable and effective, particularly when the result is achieved after joint efforts of cardiac surgery and interventional cardiology. |
| Databáze: | OpenAIRE |
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