Survival into sixth decade of untreated pulmonary atresia with ventricular septal defect and major aorto-pulmonary collaterals: a magnetic resonance imaging study.
A 56-year-old male with a history of untreated pulmonary atresia with ventricular septal defect diagnosed during childhood was referred to our institution for congestive heart failure. We describe the MR imaging findings that documented the presence of multiple aorto-pulmonary collaterals arising from the abdominal aorta and from the internal mammary artery supplying both pulmonary arteries. This is the oldest known surviving case documented in medical literature.
Section of Cardiology, Santa Maria Bianca Hospital, Mirandola, Italy. ratticarlo@hotmail.com
Carlo
C
Ratti
Laura
L
Grassi
Guido
G
Ligabue
Giovanni
G
Della Casa
Andrea
A
Barbieri
Manuela
M
Gavioli
Bruno
B
Bompani
D000015:Abnormalities, Multiple / Q000473:pathology* / Q000503:physiopathology; D000367:Age Factors; D001012:Aorta, Abdominal / Q000473:pathology* / Q000503:physiopathology; D003097:Collateral Circulation; D006333:Heart Failure / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D018810:Magnetic Resonance Angiography; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008323:Mammary Arteries / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology* / Q000503:physiopathology; D018633:Pulmonary Atresia / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D011652:Pulmonary Circulation; D012039:Regional Blood Flow