Pulmonary atresia with intact ventricular septum, right-sided aortic arch, and an aorto-pulmonary collateral artery

Described is a rare association in a patient with the heart in the left chest, namely pulmonary atresia with intact ventricular septum, fistulous coronary arterial connections, a right-sided aortic arch and an aorto-pulmonary collateral artery feeding one lung. The pulmonary arteries were non-conflu...

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Bibliographic Details
Published in:Cardiology in the young 1999-09, Vol.9 (5), p.512-515
Main Authors: Patel, Chandrakant R., Spector, Michael L., Zahka, Kenneth G.
Format: Article
Language:English
Subjects:
Aorta, Thoracic - abnormalities
aorto-pulmonary collateral artery
Brief Reports
Collateral Circulation
Heart Defects, Congenital - pathology
Heart Septum
Humans
Infant, Newborn
Male
Pulmonary Atresia - pathology
Pulmonary atresia with intact ventricular septum
right-sided aortic arch
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Summary:Described is a rare association in a patient with the heart in the left chest, namely pulmonary atresia with intact ventricular septum, fistulous coronary arterial connections, a right-sided aortic arch and an aorto-pulmonary collateral artery feeding one lung. The pulmonary arteries were non-confluent, with the right lung supplied by the right arterial duct originating from the under surface of the right-sided aortic arch, and the left lung supplied through the aorto-pulmonary collateral artery arising from the descending aorta. The surgical management is different in the setting of non-confluent pulmonary arteries.
ISSN:1047-9511
1467-1107
DOI:10.1017/S104795110000545X