A Technique for Pulmonary Artery Reconstruction for Ductal Origin of the Right Pulmonary Artery

Ductal origin of the pulmonary artery is a rare cardiovascular anomaly; it is often mislabeled as absent pulmonary artery or pulmonary artery agenesis resulting in delayed interventions. We present a case of ductal origin of the right pulmonary artery highlighting the need for early detection and prompt intervention to reestablish perfusion to the lung. This approach allows for continued lung development and reduces the morbidity related to single lung physiology. The aim of this article is to describe a refinement in the operative technique used in the reconstruction of the ductal origin of the right pulmonary artery via creation of an interposition homograft roll for centralization.