Pulmonary Atresia

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Adriano Carotti - One of the best experts on this subject based on the ideXlab platform.

  • Pulmonary Atresia with intact ventricular septum and systemic-Pulmonary collateral arteries
    The Annals of Thoracic Surgery, 2002
    Co-Authors: Sonia B. Albanese, Adriano Carotti, Alessandra Toscano, Bruno Marino, Roberto M. Di Donato
    Abstract:

    Pulmonary Atresia with intact ventricular septum and major systemic-Pulmonary collateral arteries is a very rare congenital heart lesion with dismal natural history. Herein we report on a case of Pulmonary Atresia with intact ventricular septum with hypoplastic right ventricle, very small confluent Pulmonary arteries, absent arterial duct, and Pulmonary blood flow exclusively provided by bronchial-type systemic-Pulmonary collateral arteries that was successfully treated at our institution.

  • Ductus arteriosus in Pulmonary Atresia with and without ventricular septal defect. Anatomic and functional differences.
    Scandinavian journal of thoracic and cardiovascular surgery, 1992
    Co-Authors: B. Marino, Paolo Guccione, Adriano Carotti, A. De Zorzi, R Di Donato, C. Marcelletti
    Abstract:

    The Pulmonary circulation is dependent on the ductus arteriosus in all patients with Pulmonary Atresia and intact ventricular septum and in some with Pulmonary Atresia and ventricular septal defect (tetralogy of Fallot type). To assess the time of ductal closure in these two patient categories, we compared the ages at first operation in 58 patients with Pulmonary Atresia and intact ventricular septum and 32 with Pulmonary Atresia and septal defect. The age distribution differed significantly between the groups. Whereas 90% of the children with intact ventricular septum required surgery in the first week of life, 50% of those with ventricular septal defect underwent surgery after the first month and 25% after the third month. The previously described and now confirmed anatomic differences of ductus arteriosus or different levels of endogenous prostaglandins may explain persistent patency of the ductus in Pulmonary Atresia with ventricular septal defect. The phenomenon may have important clinical implications regarding the timing and choice of surgical procedure.

Shinichi Takamoto - One of the best experts on this subject based on the ideXlab platform.

  • Pulmonary Atresia, ventricular septal defect, and coronary-Pulmonary artery fistula
    The Annals of thoracic surgery, 2001
    Co-Authors: Yukihiro Kaneko, Okabe H, Nobuhiro Nagata, Jotaro Kobayashi, Arata Murakami, Shinichi Takamoto
    Abstract:

    We report 2 patients with Pulmonary Atresia, ventricular septal defect, and coronary-Pulmonary fistula. The fistula originated from the left anterior descending artery in 1 patient, and from the right coronary artery in the other. Both patients survived staged correction in which right ventricular outflow was reconstructed with autologous fistula tissue. One patient with Pulmonary hypertension suddenly died 9 months after surgery. Twenty-four patients with Pulmonary Atresia, ventricular septal defect, and coronary-Pulmonary fistula have been reported previously.

Narayanswami Sreeram - One of the best experts on this subject based on the ideXlab platform.

  • Pulmonary Atresia, "intact ventricular septum", and aortoPulmonary collateral arteries.
    Heart, 1997
    Co-Authors: R. J. Mildner, László Király, Narayanswami Sreeram
    Abstract:

    In muscular Pulmonary Atresia, major aortoPulmonary collateral arteries are characteristic of Pulmonary Atresia with ventricular septal defect and are rarely seen in Pulmonary Atresia with intact ventricular septum. Two unusual cases of muscular Pulmonary Atresia are reported, one with an intact septum and one with a perimembranous ventricular septal defect, closed in utero by aneurysmal tricuspid tissue. In both cases the Pulmonary blood supply came entirely from aortoPulmonary collaterals. In case 1 a collateral artery connected the left subclavian artery and hypoplastic Pulmonary arteries, and several aortoPulmonary collaterals arose from the descending aorta, without overlap between these two circulations. In case 2 the Pulmonary trunk and arterial duct were absent and the Pulmonary blood supply came entirely from collateral arteries. The right ventricle was of normal size and tripartite with a closed perimembranous ventricular septal defect, discovered only at postmortem examination. These observations suggest right ventricular outflow tract obstruction early in fetal development, with involution of the Pulmonary trunk and sixth arch derivatives, and persistence of primitive aortoPulmonary connections. The morphology in case 1 is at odds with the theoretical division of Pulmonary Atresia with intact septum and Pulmonary Atresia with ventricular septal defect into two separate pathological entities that occur at different stages in fetal development.

Roberto M. Di Donato - One of the best experts on this subject based on the ideXlab platform.

  • Pulmonary Atresia with intact ventricular septum and systemic-Pulmonary collateral arteries
    The Annals of Thoracic Surgery, 2002
    Co-Authors: Sonia B. Albanese, Adriano Carotti, Alessandra Toscano, Bruno Marino, Roberto M. Di Donato
    Abstract:

    Pulmonary Atresia with intact ventricular septum and major systemic-Pulmonary collateral arteries is a very rare congenital heart lesion with dismal natural history. Herein we report on a case of Pulmonary Atresia with intact ventricular septum with hypoplastic right ventricle, very small confluent Pulmonary arteries, absent arterial duct, and Pulmonary blood flow exclusively provided by bronchial-type systemic-Pulmonary collateral arteries that was successfully treated at our institution.

C. Marcelletti - One of the best experts on this subject based on the ideXlab platform.

  • Ductus arteriosus in Pulmonary Atresia with and without ventricular septal defect. Anatomic and functional differences.
    Scandinavian journal of thoracic and cardiovascular surgery, 1992
    Co-Authors: B. Marino, Paolo Guccione, Adriano Carotti, A. De Zorzi, R Di Donato, C. Marcelletti
    Abstract:

    The Pulmonary circulation is dependent on the ductus arteriosus in all patients with Pulmonary Atresia and intact ventricular septum and in some with Pulmonary Atresia and ventricular septal defect (tetralogy of Fallot type). To assess the time of ductal closure in these two patient categories, we compared the ages at first operation in 58 patients with Pulmonary Atresia and intact ventricular septum and 32 with Pulmonary Atresia and septal defect. The age distribution differed significantly between the groups. Whereas 90% of the children with intact ventricular septum required surgery in the first week of life, 50% of those with ventricular septal defect underwent surgery after the first month and 25% after the third month. The previously described and now confirmed anatomic differences of ductus arteriosus or different levels of endogenous prostaglandins may explain persistent patency of the ductus in Pulmonary Atresia with ventricular septal defect. The phenomenon may have important clinical implications regarding the timing and choice of surgical procedure.