Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta in a 10-Day-Old Boy: A Case Report

Lin Luo, Yulan Luo, Qi An, Mei Feng
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Abstract

Anomalous origin of the right pulmonary artery from the ascending aorta is a rare anomaly, comprising approximately 0.1% of all congenital heart diseases. Patients suffered congestive heart failure in infancy, and some patients will experience progressive pulmonary vascular disease without surgical repair. In patients of this disease, early surgical intervention is generally advised and has demonstrated a high level of safety and efficacy, yielding excellent outcomes. We report a unique case involving a 10-day-old boy, characterized by the rare anomalous origination of the right pulmonary artery from the ascending aorta. This case is further complicated by the presence of a patent ductus arteriosus (PDA) and a right descending aorta. The ligation of the PDA and reimplantation of the right pulmonary artery (RPA) were successfully performed. The patient exhibited a favorable recovery trajectory postoperatively.
一名出生仅 10 天的男孩右肺动脉从升主动脉异常起源:病例报告
升主动脉右肺动脉起源异常是一种罕见的异常,约占所有先天性心脏病的 0.1%。患者在婴儿期就会出现充血性心力衰竭,有些患者在没有手术修复的情况下会出现进行性肺血管疾病。对于这种疾病的患者,一般建议尽早进行手术治疗,手术的安全性和有效性都很高,治疗效果也很好。我们报告了一例独特的病例,涉及一名出生仅 10 天的男孩,其特点是右肺动脉罕见地从升主动脉异常起源。该病例因存在动脉导管未闭(PDA)和右降主动脉而变得更加复杂。成功结扎了 PDA 并重新植入了右肺动脉(RPA)。患者术后恢复良好。
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