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LETTER TO EDITOR  
Ahead of print publication
Left pulmonary artery from descending thoracic aorta: Part of spectrum of anomalous aortic origin of pulmonary arteries?


 Department of Cardiothoracic Surgery, Perth Children's Hospital, Nedlands, Australia

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How to cite this URL:
Rajanbabu BB, Andrews DR. Left pulmonary artery from descending thoracic aorta: Part of spectrum of anomalous aortic origin of pulmonary arteries?. Ann Pediatr Card [Epub ahead of print] [cited 2019 Dec 11]. Available from: http://www.annalspc.com/preprintarticle.asp?id=270492




Sir,

We read with much interest the article by Agati et al., “Anomalous aortic origin of pulmonary arteries: Case series and literature review” published in September–December 2019 issue of the Annals of Pediatric Cardiology. It is a well-written narrative review along with a report of four cases.

However, we feel that that it may not be appropriate to define this group of patients as “intrapericardial origin of one pulmonary artery with further description provided of any associated lesions” or as “anomalous origin of pulmonary arteries from ascending aorta.” Anomalous origin of the left pulmonary artery from descending thoracic aorta has been described before, with unique embryologic considerations.[1],[2],[3] The description used by the authors in this article completely excludes this subset of patients.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Rajanbabu BB, Chigullapally R. Anomalous left pulmonary artery: Rare case, uncertain embryology and off-pump approach. Indian J Thoracic Cardiovasc Surg 2019;35:226-9.  Back to cited text no. 1
    
2.
Gnanappa GK, Laohachai K, Orr Y, Ayer J. Isolated anomalous origin of left pulmonary artery from the descending aorta: An embryologic ambiguity. Ann Thorac Surg 2016;102:e439-41.  Back to cited text no. 2
    
3.
Prifti E, Bonacchi M, Murzi B, Crucean A, Bernabei M, Luisi VS, et al. Anomalous origin of the left pulmonary artery from the aorta. Our experience and literature review. Heart Vessels 2003;18:79-84.  Back to cited text no. 3
    

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Correspondence Address:
Balram Babu Rajanbabu,
Department of Cardiothoracic Surgery, Perth Children's Hospital, Nedlands
Australia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/apc.APC_130_19





 

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