Thorac Cardiovasc Surg 2010; 58(3): 181-183
DOI: 10.1055/s-0029-1240746
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Pulmonary Artery Banding for Hemi-Truncus Arteriosus in Adulthood

N. Nikolaidis1 , T. Velissaris1 , M. P. Haw1
  • 1Wessex Cardiac Centre, Southampton University Hospital, Southampton, United Kingdom
Further Information

Publication History

received August 15, 2009

Publication Date:
07 April 2010 (online)

Abstract

Anomalous origin of the right pulmonary artery from the ascending aorta, also called hemi-truncus arteriosus, is a rare congenital cardiovascular malformation. Around 95 % of the reported cases with hemi-truncus arteriosus present in infancy. We describe a case of a 41-year-old female presenting with a long-standing history of intermittent haemoptysis. Cardiac catheterisation confirmed the diagnosis of hemi-truncus arteriosus. The definitive treatment of hemi-truncus arteriosus in adulthood is an extremely high-risk procedure. We decided to perform palliative right pulmonary artery banding which represents a simple but effective procedure for the management of this complex condition.

References

  • 1 Riza D, Alpay C, Bora F. Anomalous origin of one pulmonary artery branch from ascending aorta [“so-called hemitruncus”]: report of an additional case treated surgically.  Turk J Pediatr. 2001;  43 257-260
  • 2 Edasery B, Sharma M, Vaddigiri V, Santucci Jr T. Hemitruncus in an adult.  Angiology. 1996;  47 1023-1026
  • 3 Wu M, Yang G. Origin of the right pulmonary artery from the ascending aorta in a 25-year-old man.  Texas Heart Inst J. 2006;  33 (4) 534-535
  • 4 Sectem U, Jungehulsing M, De Vivie R, Mennickens U, Hopp H W. Left hemitruncus in adulthood: diagnostic role of magnetic resonance imaging.  Eur Heart J. 1991;  12 1040-1044
  • 5 Peng E W K, Shanmugan G, Macarthur K J D, Pollock J C S. Ascending aortic origin of a branch pulmonary artery – surgical management and long-term outcome.  Eur J Cardiothorac Surg. 2004;  26 762-766
  • 6 Armer R M, Shumacker H B, Klatte E C. Origin of the right pulmonary artery from the ascending aorta. Report of a surgically corrected case.  Circulation. 1961;  24 662-668
  • 7 Kirkpatrick S E, Girod D A, King H. Aortic origin of the right pulmonary artery.  Circulation. 1967;  36 777-782
  • 8 Chae J, Seo J B, Kim S Y, Do K H, Heo J N, Seong Lee J S, Song K S, Song J W, Lim T H. Radiographic and CT findings of thoracic complications after pneumonectomy.  RadioGraphics. 2006;  26 1449-1468

Dr. Nicolas Nikolaidis, MD, MRCSEd

Wessex Cardiac Centre
Southampton University Hospital

Tremona Road

So16 6YD Southampton

United Kingdom

Phone: + 44 78 91 38 52 83

Fax: + 44 23 80 79 45 26

Email: nicnik1977@yahoo.com

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