Unusual variant of tetralogy of Fallot with pulmonary atresia: a right pulmonary artery from the ascending aorta and a coronary-to-left pulmonary artery collateral.
We present the case of a newborn with tetralogy of Fallot and pulmonary atresia, with a right pulmonary artery from the ascending aorta, and a left pulmonary artery arising from the right coronary artery via an indirect aortopulmonary collateral. The embryogenesis of this unusual combination of pulmonary blood supply has significant implications when considering normal migration of the aortopulmonary septum.
Division of Pediatric Cardiology,Columbia University Medical Center,NewYork-Presbyterian/Morgan Stanley Children's Hospital,New York,United States of America.
Betul
B
Yilmaz
Division of Pediatric Cardiology,Columbia University Medical Center,NewYork-Presbyterian/Morgan Stanley Children's Hospital,New York,United States of America.
Matthew A
MA
Crystal
Division of Pediatric Cardiology,Columbia University Medical Center,NewYork-Presbyterian/Morgan Stanley Children's Hospital,New York,United States of America.
Brett R
BR
Anderson
D001011:Aorta / Q000002:abnormalities; D003097:Collateral Circulation; D003331:Coronary Vessels / Q000473:pathology*; D018618:Echocardiography, Doppler, Color; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D018633:Pulmonary Atresia / Q000000981:diagnostic imaging / Q000473:pathology*; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000473:pathology*
aortic arches