Interim prostacyclin therapy for an isolated disconnected pulmonary artery: a case report.
BACKGROUND
Disconnected pulmonary arteries are unusual and may result in pulmonary hypertension with acute right heart failure.


METHODS
We report a case of a three-month-old Asian girl who presented with heart failure and severe pulmonary hypertension due to a disconnected right pulmonary artery. An epoprostenol (prostacyclin) infusion was instrumental in lowering pulmonary artery pressures and stabilizing the child prior to surgery.


CONCLUSIONS
This is, to the best of our knowledge, the first report of successful prostacyclin usage in such a situation.
Paediatric Department, Mater Dei Hospital, Disneyland, Tal-Qroqq, Malta. victor.e.grech@gov.mt.
Victor
V
Grech
Cynthia
C
Grixti