Title of article :
The Role of Anterior Translocation of Right Pulmonary Artery in the Correction of Aortic Arch Anomalies from the Midline
Author/Authors :
Dehestani, Ali Reza Department of Pediatric Cardiac Surgery - Children’s Medical Center - Tehran University of Medical Sciences, Tehran , Shabanian, Reza Department of Pediatric Cardiology - Children’s Medical Center - Tehran University of Medical Sciences, Tehran , Mirzaaghayan, Mohammad Reza Department of Pediatric Cardiac Surgery - Children’s Medical Center - Tehran University of Medical Sciences, Tehran , Dadkhah, Minoo Department of Pediatric Cardiology - Children’s Medical Center - Tehran University of Medical Sciences, Tehran
Abstract :
Introduction: Dilated pulmonary artery can increase the postoperative airway complications after the simultaneous repair of aortic arch anomalies and cardiovascularlesionswithlargeleft to right shunt. Itis claimed that the anterior translocationof pulmonary
artery will reduce the airway compression.
Case Presentation: Here we report 3 cases including an 11-month-old infant with ventricular septal defect (VSD) and coarctation, a
2-month-old infant with interrupted aortic arch (IAA) and VSD, and a neonate with aortopulmonary window (APW) in combination
with coarctation in which all had a one stage repair of their lesions. Translocation of the right pulmonary artery (RPA) branch was
performed in two patients, however with different postoperative courses that merit pondering over their fate.
Conclusions: RPA anterior translocation could be considered as an additional palliation in some patients with coarctation repair
from midsternotomy approach.
Keywords :
Coarctation of Aorta , Bronchial Stenosis , Midsternotomy , Pulmonary Artery Translocation
Journal title :
Multidisciplinary Cardiovascular Annals
