Document Detail

Aortic origin of the right pulmonary artery associated with ductus arteriosus in an adult. A case report.
MedLine Citation:
PMID:  11255719     Owner:  NLM     Status:  MEDLINE    
We describe the case of a 26-year-old female in functional class I (NYHA), with aortic origin of the right pulmonary artery associated with a persistent ductus arteriosus and severe pulmonary artery hypertension (101/40-70 mm Hg), which remained elevated (89/40-60 mm Hg) after the administration of 100% oxygen. Right pulmonary artery pressure (125/60-86 mm Hg) was higher than that of main pulmonary artery and similar to aorta pressure. The patient was successfully treated: surgical closure of the ductus arteriosus and end-to-end anastomosis between the pulmonary artery and right pulmonary artery were carried out. Systolic pulmonary arterial pressure, estimated by echocardiography Doppler, was 60 mm Hg six months after surgery. Cross-sectional echocardiogram showed the anastomosis of the right pulmonary artery with the main pulmonary artery. Pulmonary gammagraphy showed both lungs perfused through the main pulmonary artery; right lung perfusion was lesser than left lung perfusion, 30 vs. 70% respectively. Aortic origin of a right or left pulmonary artery is a heart disease seen in patients during the course of the first year of life. Its frequency is < 1% among all the congenital cardiopathies and the survival rate to adult life is very low. The originality of this paper is the presentation of a rare congenital cardiopathy treated surgically in an adult.
A Rangel; R Argüero; H Albarrán; S Ocampo; R Baleón; O Nandayapa; G Careaga; L R Quintero; E Chávez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archivos del Instituto de Cardiología de México     Volume:  70     ISSN:  0020-3785     ISO Abbreviation:  Arch Inst Cardiol Mex     Publication Date:    2000 Nov-Dec
Date Detail:
Created Date:  2001-03-20     Completed Date:  2001-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400463     Medline TA:  Arch Inst Cardiol Mex     Country:  Mexico    
Other Details:
Languages:  eng     Pagination:  596-602     Citation Subset:  IM    
Departamento de Hemodinamia, Hospital de Especialidades, Centro Médico La Raza, IMSS, Calles de Seris y Zaachila, 02990 México, D.F.
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MeSH Terms
Ductus Arteriosus, Patent / radiography,  radionuclide imaging,  ultrasonography*
Pulmonary Artery / abnormalities*,  radiography,  radionuclide imaging,  ultrasonography

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