Tomohiro Nakata, Maiko Tachi, Kenji Yasuda, Junya Tanabe, Yuka Kawanami, Kazuhiro Yamazaki
Shimane University Faculty of Medicine.
Japan
World Journal of Pediatric and Congenital Heart Surgery
World J Pediatr Congenit Heart Surg 2024;
DOI: 10.1177/21501351241285452
Abstract
We present a case of a 36 year old adult with anomalous origin of the right pulmonary artery from the aorta (hemitruncus), pulmonary hypertension, and moderate mitral regurgitation. Moreover, selective contrast echocardiogram (agitated saline injection into the right pulmonary artery) performed during preoperative cardiac catheterization demonstrated a moderate amount and prompt appearance of echo contrast in the left atrium (right pulmonary arteriovenous fistula). We successfully performed a reconstruction of the right pulmonary artery using a woven Dacron graft (12 mm in diameter). Six months postsurgery, the pulmonary arteriovenous fistula had substantially regressed, and the pulmonary arterial pressure and mitral regurgitation had both dramatically improved.
Category
Class I. Pulmonary Hypertension Associated with Congenital Cardiovascular Disease
Pulmonary Arteriovenous Malformations
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Adult Pulmonary Vascular Disease
Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No