Anomalous origin of a pulmonary artery from the ascending aorta: Associated anomalies and pathogenesis
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Cited by (151)
Outcomes of Surgical Reimplantation for Anomalous Origin of One Pulmonary Artery From the Aorta
2021, Annals of Thoracic SurgeryAnomalous Systemic Arterial Supply to the Lung: To Which Category Should This Belong?
2020, Heart Lung and CirculationCitation Excerpt :A summary of 108 cases of AOPA in a study conducted by Kutsche et al. [29] revealed that in 89 (82%) cases the right pulmonary artery abnormally originated from the aorta (AORPA), while in 19 (18%) cases the left pulmonary artery abnormally originated from the aorta (AOLPA). It has been proposed that AOPA can be divided into two types: proximal, where the aberrant pulmonary artery arises from the ascending aorta near the valve plane; and distal, where the aberrant pulmonary artery arises from the patent ductus arteriosus [8,29,31,32]. It is most common for aberrant pulmonary arteries to originate from the ascending aorta [7,8,27–29,32], although origination in the descending aorta and the abdominal aorta have occasionally been observed [26,28,33–35].
Unilateral Branch Pulmonary Artery Origin From a Solitary Arterial Trunk With Major Aortopulmonary Collaterals to the Contralateral Lung: Anatomic and Developmental Considerations
2021, Seminars in Thoracic and Cardiovascular SurgeryCitation Excerpt :In a large anatomic study, a different theory was proposed that an anomalous right PA from the ascending aorta results from incomplete or delayed leftward migration of the right PA, whereas a single anomalous left PA likely results from failure or abnormal development of the left 6th arch and is associated with TOF and aortic arch anomalies.8 In that study, which consisted primarily of patients who did not have intracardiac anomalies, MAPCAs, or DiGeorge syndrome, an anomalous right PA was reported to be far more common than an anomalous left PA.8 However, in our cohort, in which all had intracardiac disease and the majority had chromosome 22q11 deletion, an anomalous left PA was the more common finding. Since TOF with pulmonary infundibular atresia can be challenging to distinguish from TAC without observing the great arteries, discerning TOF from TAC in the presence of a single branch PA arising from a solitary trunk has been based on the anatomy of the intrapericardial outflow tracts and the circulation of the lung supplied by MAPCAs.
Image diagnosis: An anomalous origin of right pulmonary artery from the ascending aorta
2020, Journal of Cardiovascular Computed TomographyIsolated right subclavian artery in a left aortic arch with ventricular septal defect
2021, Cardiology in the Young
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Dr. Kutsche is the recipient of Clinical Investigator Award 5K08 HL00885 from the National Heart, Lung, and Blood Institute, Bethesda, Maryland.