Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
CASE REPORT  

 Article Access Statistics
    Viewed211    
    Printed17    
    Emailed0    
    PDF Downloaded26    
    Comments [Add]    

Recommend this journal

Repeat percutaneous recanalizations of a discontinuous pulmonary artery: A very “lucky” vessel


1 Pediatric Cardiology, “Meyer” Pediatric Hospital, University of Florence, Florence, Italy
2 "Ospedale del Cuore", Tuscan-CNR Foundation "G. Monasterio", Massa, Italy
3 Pediatric Cardiology and GUCH Unit, Heart Hospital “G. Pasquinucci”, Tuscany-National Council of Research Foundation “G. Monasterio”, Massa, Italy

Correspondence Address:
Dr. Giuseppe Santoro
Via Camillo Sorgente, 31, 84125 Salerno
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_142_19

Rights and Permissions

Year : 2020  |  Volume : 13  |  Issue : 2  |  Page : 163-166

 

SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (831 KB)
Email article
Print Article
Add to My List
Pulmonary artery (PA) discontinuity with ductal origin of a major pulmonary branch is a rare congenital anomaly that can be diagnosed as an isolated lesion or in association with major cardiac malformations. Arterial duct (AD) closure results in complete disappearance of the dependent PA, thus leading to the misdiagnosis of “congenital PA absence.” Neonatal AD transcatheter recanalization is considered a cost-effective approach in view of later, lower-risk surgical recruitment of the disconnected PA. However, repeat percutaneous recanalizations of a completely occluded PA, the first one as native duct-dependent lesion and the second one several months after its surgical reimplantation, have so far never been reported in the literature. This paper reports on a neonate who serendipitously received at a few weeks of age the diagnosis of “congenital” absence of the right PA. She was successfully submitted to transcatheter AD recanalization and then surgical recruitment of the dependent PA about 8 months later. However, complete occlusion of the reconnected PA was diagnosed some few months after the surgical repair. This vessel was once again recruited by percutaneous approach and it is still patent and in catch-up growth after 6 months from the second recanalization procedure.






[FULL TEXT] [PDF]*
 

 

 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 CASE REPORT
 




1 Pediatric Cardiology, “Meyer” Pediatric Hospital, University of Florence, Florence, Italy
2 "Ospedale del Cuore", Tuscan-CNR Foundation "G. Monasterio", Massa, Italy
3 Pediatric Cardiology and GUCH Unit, Heart Hospital “G. Pasquinucci”, Tuscany-National Council of Research Foundation “G. Monasterio”, Massa, Italy

Correspondence Address:
Dr. Giuseppe Santoro
Via Camillo Sorgente, 31, 84125 Salerno
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_142_19

Rights and Permissions

Pulmonary artery (PA) discontinuity with ductal origin of a major pulmonary branch is a rare congenital anomaly that can be diagnosed as an isolated lesion or in association with major cardiac malformations. Arterial duct (AD) closure results in complete disappearance of the dependent PA, thus leading to the misdiagnosis of “congenital PA absence.” Neonatal AD transcatheter recanalization is considered a cost-effective approach in view of later, lower-risk surgical recruitment of the disconnected PA. However, repeat percutaneous recanalizations of a completely occluded PA, the first one as native duct-dependent lesion and the second one several months after its surgical reimplantation, have so far never been reported in the literature. This paper reports on a neonate who serendipitously received at a few weeks of age the diagnosis of “congenital” absence of the right PA. She was successfully submitted to transcatheter AD recanalization and then surgical recruitment of the dependent PA about 8 months later. However, complete occlusion of the reconnected PA was diagnosed some few months after the surgical repair. This vessel was once again recruited by percutaneous approach and it is still patent and in catch-up growth after 6 months from the second recanalization procedure.






[FULL TEXT] [PDF]*


        
Print this article     Email this article