Surgical Correction of Absence of Proximal Segment of Left Pulmonary Artery

GEORGE E. GREEN, EDMUND H. REPPERT, SIDNEY Q. COHLAN, FRANK C. SPENCER
1968 Circulation  
In a 14-month-old patient who had been repeatedly hospitalized for recurrent pulmonary infections, cardiac angiography found "absence" of the left pulmonary artery, but thoracic aortography demonstrated that a rudimentary patent ductus filled a distal patent pulmonary artery. There was a coexistent vascular ring with a retroesophageal right subclavian artery. At surgical exploration it was possible to mobilize the distal left puLmonary artery and perform a direct anastomosis between the left
more » ... monary artery and the main pulmonary artery. This is perhaps the first patient in whom such an operation has been performed. It is emphasized that the absence of a pulmonary artery on pulmonary angiography does not indicate that the entire pulmonary artery is absent. The presence of a patent and surgically reconstructable distal pulmonary artery can be determined only by aortography or possibly by surgical exploration. Additional
doi:10.1161/01.cir.37.1.62 pmid:5634730 fatcat:n25ntij2nrhofkifykhulhwhce