Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T10:12:54.635Z Has data issue: false hasContentIssue false
  • English
  • Français

Unilateral interruption of pulmonary artery with pulmonary hypertension: a case for heart lung transplantation?

Part of: Cardiac Morphology

Published online by Cambridge University Press:  30 April 2019

Roopesh Singhal
Roopesh Singhal*
Affiliation:
Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India
*
Author for correspondence: R. Singhal, Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India. Tel: +91-9099016535; Fax: +91-79-22682092; E-mail: roopeshrsinghal@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Unilateral interruption of pulmonary artery is a rare congenital anomaly which is usually associated with other congenital heart disease. Even more rarely it may occur in isolation. Most of the cases are incidentally detected in adulthood. Some cases develop pulmonary hypertension for yet unknown reasons; such cases usually present in infancy with right heart failure. Surgical correction in such cases is associated with adverse outcomes. Heart lung transplantation should be considered in such patients. We report a 3-year-old boy with interruption of right pulmonary artery with severe pulmonary hypertension and right heart failure who was considered for heart lung transplantation.

Keywords

Interruption of pulmonary arteryunilateral absence of pulmonary arteryheart lung transplantationpulmonary hypertensionright heart failure
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 5 , May 2019 , pp. 704 - 707
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fraentzel, O. Ein Fall von abnormer Communication der Aorta mit der Arteria pulmonalis. Arch Für Pathol Anat Physiol Für Klin Med 1868; 43: 420–426.Google Scholar
Shakibi, JG, Rastan, H, Nazarian, I, Paydar, M, Aryanpour, I, Siassi, B. Isolated unilateral absence of the pulmonary artery. Review of the world literature and guidelines for surgical repair. Jpn Heart J 1978; 19: 439–451.CrossRefGoogle ScholarPubMed
Turner, D, Vincent, J, Epstein, M. Isolated right pulmonary artery discontinuity. Images Paediatr Cardiol 2000; 2: 24–30.Google ScholarPubMed
Pfefferkorn, JR, Löser, H, Pech, G, Toussaint, R, Hilgenberg, F. Absent pulmonary artery. A hint to its embryogenesis. Pediatr Cardiol 1982; 3: 283–286.CrossRefGoogle ScholarPubMed
Cucci, CE, Doyle, EF, Lewis, EW. Absence of a primary division of the pulmonary trunk. An ontogenetic theory. Circulation 1964; 29: 124–131.CrossRefGoogle ScholarPubMed
Ten Harkel, ADJ, Blom, NA, Ottenkamp, J. Isolated unilateral absence of a pulmonary artery: a case report and review of the literature. Chest 2002; 122: 1471–1477.CrossRefGoogle ScholarPubMed
Pool, PE, Vogel, JH, Blount, SG. Congenital unilateral absence of a pulmonary artery. The importance of flow in pulmonary hypertension. Am J Cardiol 1962; 10: 706–732.CrossRefGoogle ScholarPubMed
Haworth, SG, de Leval, M, Macartney, FJ. Hypoperfusion and hyperperfusion in the immature lung. Pulmonary arterial development following ligation of the left pulmonary artery in the newborn pig. J Thorac Cardiovasc Surg 1981; 82: 281–292.Google ScholarPubMed
Malcon, MC, Malcon, CM, Cavada, MN, Caruso, PEM, Real, LF. Unilateral pulmonary agenesis. J Bras Pneumol 2012; 38: 526–529.CrossRefGoogle ScholarPubMed
Singh, U, Jhim, D, Kumar, S, et al. Unilateral agenesis of the lung: a rare entity. Am J Case Rep 2015; 16: 69–72.Google ScholarPubMed
DeRuiter, MC, Gittenberger-de Groot, AC, Poelmann, RE, VanIperen, L, Mentink, MM. Development of the pharyngeal arch system related to the pulmonary and bronchial vessels in the avian embryo. With a concept on systemic-pulmonary collateral artery formation. Circulation 1993; 87: 1306–1319.CrossRefGoogle ScholarPubMed
Franke, U, Wiebe, K, Harringer, W, et al. Ten years experience with lung and heart-lung transplantation in primary and secondary pulmonary hypertension. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg 2000; 18: 447–452.CrossRefGoogle ScholarPubMed
Goerler, H, Simon, A, Gohrbandt, B, et al. Heart-lung and lung transplantation in grown-up congenital heart disease: long-term single centre experience. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg 2007; 32: 926–931.CrossRefGoogle ScholarPubMed
Goldstein, BS, Sweet, SC, Mao, J, Huddleston, CB, Grady, RM. Lung transplantation in children with idiopathic pulmonary arterial hypertension: an 18-year experience. J Heart Lung Transplant 2011; 30: 1148–1152.CrossRefGoogle Scholar