Pulmonary artery banding for hemi-truncus arteriosus in adulthood.
Anomalous origin of the right pulmonary artery from the ascending aorta, also called hemi-truncus arteriosus, is a rare congenital cardiovascular malformation. Around 95% of the reported cases with hemi-truncus arteriosus present in infancy. We describe a case of a 41-year-old female presenting with a long-standing history of intermittent haemoptysis. Cardiac catheterisation confirmed the diagnosis of hemi-truncus arteriosus. The definitive treatment of hemi-truncus arteriosus in adulthood is an extremely high-risk procedure. We decided to perform palliative right pulmonary artery banding which represents a simple but effective procedure for the management of this complex condition.
Nikolaidis
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Wessex Cardiac Centre, Southampton University Hospital, Southampton, United Kingdom. nicnik1977@yahoo.com
Velissaris
T
T
Haw
M P
MP
D000328:Adult; D001794:Blood Pressure; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D010166:Palliative Care; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome; D014339:Truncus Arteriosus, Persistent / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*