Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-10T09:13:00.321Z Has data issue: false hasContentIssue false

Unusual variant of tetralogy of Fallot with pulmonary atresia: a right pulmonary artery from the ascending aorta and a coronary-to-left pulmonary artery collateral

Published online by Cambridge University Press:  03 April 2014

Betul Yilmaz*
Affiliation:
Division of Pediatric Cardiology, Columbia University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital, New York, United States of America
Matthew A. Crystal
Affiliation:
Division of Pediatric Cardiology, Columbia University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital, New York, United States of America
Brett R. Anderson
Affiliation:
Division of Pediatric Cardiology, Columbia University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital, New York, United States of America
*
Correspondence to: Dr B. Yilmaz, MD, Division of Pediatric Cardiology, Columbia University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital, 3959 Broadway, CH-2N Room 255, New York, NY 10032, United States of America. Tel: +(212) 305 2446; Fax: +(212) 305 6002; E-mail: by2190@columbia.edu

Abstract

We present the case of a newborn with tetralogy of Fallot and pulmonary atresia, with a right pulmonary artery from the ascending aorta, and a left pulmonary artery arising from the right coronary artery via an indirect aortopulmonary collateral. The embryogenesis of this unusual combination of pulmonary blood supply has significant implications when considering normal migration of the aortopulmonary septum.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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

1. Baker, JE, Anderson, RH. Tetralogy of Fallot with pulmonary atresia. In: Anderson RH, Baker EJ, Penny DJ et al. (eds). Paediatric Cardiology. Elsevier/Churchill Livingstone, 2009: 775793.Google Scholar
2. Liberthson, RR, Sagar, K, Berkoben, JP, et al. Congenital coronary arteriovenous fistula. Circulation 1979; 59: 849854.CrossRefGoogle ScholarPubMed
3. Amin, Z, McElhinney, DB, Reddy, VM, et al. Coronary to pulmonary artery collaterals in patients with pulmonary atresia and ventricular septal defect. Ann Thorac Surg 2000; 70: 119123.CrossRefGoogle ScholarPubMed
4. Collison, SP, Dagar, KS, Kaushal, SK, et al. Coronary artery fistulas in pulmonary atresia and ventricular septal defect. Asian Cardiovasc Thorac Ann 2008; 16: 2932.CrossRefGoogle ScholarPubMed
5. Anderson, RH, Chaudhry, B, Mohun, TJ, et al. Normal and abnormal development of the intrapericardial arterial trunks in humans and mice. Cardiovasc Res 2012; 95: 108115.CrossRefGoogle ScholarPubMed
6. Kutsche, LM, Van Mierop, LH. Anomalous origin of a pulmonary artery from the ascending aorta: associated anomalies and pathogenesis. Am L Cardiol 1988; 61: 850856.CrossRefGoogle ScholarPubMed
7. Schneiderman, LJ. Isolated congenital absence of the right pulmonary artery: a caution as to its diagnosis and a proposal for its embryogenesis. Report of a case with review. Am Heart J 1958; 55: 772780.CrossRefGoogle Scholar
8. Odell, JE, Smith, JC. Right pulmonary artery arising from ascending aorta. Am J Dis Child 1963; 105: 5362.Google ScholarPubMed
9. Bamforth, SD, Chaudhry, B, Bennett, M. Clarification of the identity of the mammalian fifth pharyngeal arch artery. Clin Anat 2013; 26: 173182.CrossRefGoogle ScholarPubMed

Yilmaz Supplementary Material

Movie S1

Download Yilmaz Supplementary Material(Video)
Video 18.6 MB

Yilmaz Supplementary Material

Movie S2

Download Yilmaz Supplementary Material(Video)
Video 4.4 MB