Journal of Chest Surgery
- Volume 20 Issue 2
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- Pages.416-422
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- 1987
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- 2765-1606(pISSN)
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- 2765-1614(eISSN)
Anomalous origin of the right pulmonary artery from the ascending aorta - a new modified surgical technique -
상행대동맥에서의 우폐동맥 이상기시증에 대한 교정수술 1례: 직접문합의 한 변형
Abstract
Anomalous origin of a pulmonary artery from the ascending aorta is a rare congenital cardiovascular anomaly which usually involves the right pulmonary artery. For operative reconstruction, the surgical technique of choice used to be a direct end-to-side anastomosis of the ectopic pulmonary artery to the main pulmonary artery. A case of right pulmonary artery arising from the ascending aorta associated with a contralateral patent ductus arteriosus is presented, with description of a new modified surgical technique. The operation was done on cardiopulmonary bypass with deep hypothermia. After closure of PDA, a side-to-side anastomosis between the RPA and MPA, roofed with Gore-Tex patch, was established. The postoperative course was excellent, and the postoperative angiography revealed complete anatomic correction.
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