| Successful Staged
Repair of an Anomalous Origin of the Right Pulmonary Artery from
the Ascending Aorta |
(Department of Cardiovascular Surgery and Department
of Pediatric Cardiology, Osaka Medical Center and Research Institute
for Maternal and Child Health, Osaka, Japan)
| Toshihiro Funatsu |
Hidefumi Kishimoto |
Hiroaki Kawata |
| Takuya Miura |
Takayoshi Ueno |
Shigemitsu Iwai |
| Masamichi Ono |
Tomoko Kita |
Toru Nakajima |
| Takeshi Nakada |
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We report a successful staged repair
of anomalous origin of right pulmonary artery from the ascending
aorta in a neonate. A two-day-old girl, who suffered from severe
circulatory failure, was admitted. In spite of all medical treatment,
acidosis and systemic hypotension developed. Right pulmonary
artery banding was performed in an emergency procedure, resulting
in immediate elevation of systemic blood pressure. Definitive
operation was subsequently performed on the 48th day after birth.
The right pulmonary artery, which was de-banded and divided from
aorta, was anastomosed directly to the pulmonary trunk in a side-to-end
manner. The postoperative course was uneventful and the pulmonary
artery pressure was within the normal range.
@Jpn. J. Cardiovasc. Surg. 29: 25-28 (2000) |
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