Abstract

RUZ, Miguel  and  GUZMAN, Mónica. Anomalous origin of the right pulmonary artery from the ascending aorta: Description of a clinical case. Rev. Colom. Cardiol. [online]. 2009, vol.16, n.5, pp.221-223. ISSN 0120-5633.

We present the case of a 17 days old newborn weighing 3,4 kg with a low output syndrome: breathing difficulty and poor tissue perfusion, requiring mechanical ventilation and inotropic support. An echocardiogram showed a patent ductus arteriosus (PDA), foramen, arterial pulmonary hypertension ad anomalous origin of the right pulmonary artery branch from the ascending aorta. Cardiac catheterization was performed and showed anomalous origin of the right pulmonary artery from the ascending aorta, arterial pulmonary hypertension and patent ductus arteriosus. He underwent surgery through median sternotomy and under extracorporeal circulation. Reanastomosis of the right pulmonary artery to the pulmonary trunk and ductus arteriosus ligation was performed. He was released forty days after surgery under medical treatment and had no signs of pulmonary hypertension or heart failure.

Keywords : pulmonary artery; anomalous origin; pulmonary hypertension.

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