Isolated Anomalous Origin of Left Pulmonary Artery From the Descending Aorta: An Embryologic Ambiguity

Ganesh Kumar Gnanappa; Karina Laohachai; Yishay Orr; Julian Ayer

doi:10.1016/j.athoracsur.2016.04.089

Isolated Anomalous Origin of Left Pulmonary Artery From the Descending Aorta: An Embryologic Ambiguity

Ann Thorac Surg. 2016 Nov;102(5):e439-e441. doi: 10.1016/j.athoracsur.2016.04.089.

Authors

Ganesh Kumar Gnanappa¹, Karina Laohachai², Yishay Orr², Julian Ayer²

Affiliations

¹ The Heart Centre for Children, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. Electronic address: ganeshimay@gmail.com.
² The Heart Centre for Children, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.

PMID: 27772603
DOI: 10.1016/j.athoracsur.2016.04.089

Abstract

Anomalous origin of a branch pulmonary artery from the aorta is a rare malformation, accounting for 0.12% of all congenital heart defects. Anomalous origin of the left pulmonary artery from the aorta (ALPA) constitutes a small proportion of these cases. ALPA has been reported to arise from the ascending aorta with various embryologic postulates. We report a case of isolated ALPA arising from the descending aorta in association with a patent ductus arteriosus, to emphasize its embryologic ambiguity.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / abnormalities*
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Echocardiography
Humans
Imaging, Three-Dimensional
Infant, Newborn
Male
Pulmonary Artery / abnormalities*
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / surgery
Vascular Malformations / diagnosis*
Vascular Malformations / surgery
Vascular Surgical Procedures / methods