Cargando…

Anomalous aortic origin of the pulmonary arteries: Case series and literature review

Anomalous origin of the pulmonary arteries from the ascending aorta is a rare, but severe clinical entity necessitating a scrupulous evaluation. Either the right or the left pulmonary arteries can arise directly from the ascending aorta while the other pulmonary artery retains its origin from the ri...

Descripción completa

Detalles Bibliográficos
Autores principales: Agati, Salvatore, Sousa, Carlos Guerra, Calvaruso, Felice Davide, Zanai, Rosanna, Campanella, Ivana, Poli, Daniela, Di Pino, Alfredo, Borro, Luca, Iorio, Fiore Salvatore, Raponi, Massimiliano, Anderson, Robert H, Reali, Simone, De Zorzi, Andrea, Secinaro, Aurelio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716331/
https://www.ncbi.nlm.nih.gov/pubmed/31516282
http://dx.doi.org/10.4103/apc.APC_89_18
_version_ 1783447357465034752
author Agati, Salvatore
Sousa, Carlos Guerra
Calvaruso, Felice Davide
Zanai, Rosanna
Campanella, Ivana
Poli, Daniela
Di Pino, Alfredo
Borro, Luca
Iorio, Fiore Salvatore
Raponi, Massimiliano
Anderson, Robert H
Reali, Simone
De Zorzi, Andrea
Secinaro, Aurelio
author_facet Agati, Salvatore
Sousa, Carlos Guerra
Calvaruso, Felice Davide
Zanai, Rosanna
Campanella, Ivana
Poli, Daniela
Di Pino, Alfredo
Borro, Luca
Iorio, Fiore Salvatore
Raponi, Massimiliano
Anderson, Robert H
Reali, Simone
De Zorzi, Andrea
Secinaro, Aurelio
author_sort Agati, Salvatore
collection PubMed
description Anomalous origin of the pulmonary arteries from the ascending aorta is a rare, but severe clinical entity necessitating a scrupulous evaluation. Either the right or the left pulmonary arteries can arise directly from the ascending aorta while the other pulmonary artery retains its origin from the right ventricular outflow tract. Such a finding can be isolated or can coexist with several congenital heart lesions. Direct intrapericardial aortic origin, however, must be distinguished with origin through a persistently patent arterial duct. In the current era, clinical manifestations usually become evident in the newborn rather than during infancy, as used to be the case. They include respiratory distress or congestive heart failure due to increased pulmonary flow and poor feeding. The rate of survival has now increased due to early diagnosis and prompt surgical repair, should now be expected to be at least 95%. We have treated four neonates with this lesion over the past 7 years, all of whom survived surgical repair. Right ventricular systolic pressure was significantly decreased at follow-up. Our choice of treatment was to translocate the anomalous pulmonary artery in end-to-side fashion to the pulmonary trunk. Our aim in this report is to update an Italian experience in the diagnosis and treatment of anomalous direct origin of one pulmonary artery from the aorta, adding considerations on the lessons learned from our most recent review of the salient literature.
format Online
Article
Text
id pubmed-6716331
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-67163312019-09-12 Anomalous aortic origin of the pulmonary arteries: Case series and literature review Agati, Salvatore Sousa, Carlos Guerra Calvaruso, Felice Davide Zanai, Rosanna Campanella, Ivana Poli, Daniela Di Pino, Alfredo Borro, Luca Iorio, Fiore Salvatore Raponi, Massimiliano Anderson, Robert H Reali, Simone De Zorzi, Andrea Secinaro, Aurelio Ann Pediatr Cardiol State of the Art Anomalous origin of the pulmonary arteries from the ascending aorta is a rare, but severe clinical entity necessitating a scrupulous evaluation. Either the right or the left pulmonary arteries can arise directly from the ascending aorta while the other pulmonary artery retains its origin from the right ventricular outflow tract. Such a finding can be isolated or can coexist with several congenital heart lesions. Direct intrapericardial aortic origin, however, must be distinguished with origin through a persistently patent arterial duct. In the current era, clinical manifestations usually become evident in the newborn rather than during infancy, as used to be the case. They include respiratory distress or congestive heart failure due to increased pulmonary flow and poor feeding. The rate of survival has now increased due to early diagnosis and prompt surgical repair, should now be expected to be at least 95%. We have treated four neonates with this lesion over the past 7 years, all of whom survived surgical repair. Right ventricular systolic pressure was significantly decreased at follow-up. Our choice of treatment was to translocate the anomalous pulmonary artery in end-to-side fashion to the pulmonary trunk. Our aim in this report is to update an Italian experience in the diagnosis and treatment of anomalous direct origin of one pulmonary artery from the aorta, adding considerations on the lessons learned from our most recent review of the salient literature. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6716331/ /pubmed/31516282 http://dx.doi.org/10.4103/apc.APC_89_18 Text en Copyright: © 2019 Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle State of the Art
Agati, Salvatore
Sousa, Carlos Guerra
Calvaruso, Felice Davide
Zanai, Rosanna
Campanella, Ivana
Poli, Daniela
Di Pino, Alfredo
Borro, Luca
Iorio, Fiore Salvatore
Raponi, Massimiliano
Anderson, Robert H
Reali, Simone
De Zorzi, Andrea
Secinaro, Aurelio
Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title_full Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title_fullStr Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title_full_unstemmed Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title_short Anomalous aortic origin of the pulmonary arteries: Case series and literature review
title_sort anomalous aortic origin of the pulmonary arteries: case series and literature review
topic State of the Art
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716331/
https://www.ncbi.nlm.nih.gov/pubmed/31516282
http://dx.doi.org/10.4103/apc.APC_89_18
work_keys_str_mv AT agatisalvatore anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT sousacarlosguerra anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT calvarusofelicedavide anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT zanairosanna anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT campanellaivana anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT polidaniela anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT dipinoalfredo anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT borroluca anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT ioriofioresalvatore anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT raponimassimiliano anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT andersonroberth anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT realisimone anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT dezorziandrea anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview
AT secinaroaurelio anomalousaorticoriginofthepulmonaryarteriescaseseriesandliteraturereview