A reoperation for anomalous origin of right pulmonary artery: report of a case.
A reoperation to upsize the conduit placed at infancy for the repair of an anomalous origin of the right pulmonary artery (AORPA) was successfully performed in an 8-year-old girl because of an elevated right ventricular pressure and a reduced right pulmonary blood flow. Although primary direct anastomosis is essential for AORPA, one should not hesitate to perform a conduit repair (interposition with a tube prosthesis) on an infant with AORPA whose right pulmonary artery is distant from the main pulmonary artery, because a reoperation can safely be performed even in cases where the conduit is relatively narrow as the patient grows. This is the first report of a reoperation, including a complete replacement of the conduit, after an initial conduit repair for AORPA.
Sugimoto
S
S
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Japan.
Kikuchi
S
S
Oosawa
H
H
Hachiro
Y
Y
Takagi
N
N
Abe
T
T
D000714:Anastomosis, Surgical; D001011:Aorta / Q000002:abnormalities / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002648:Child; D005260:Female; D006801:Humans; D011138:Polytetrafluoroethylene; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D012086:Reoperation
D011138:Polytetrafluoroethylene