Successful early surgical recruitment of the congenitally disconnected pulmonary artery David N Murphy, MBBS, David S Winlaw, MBBS, MD, Steve G Cooper,

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Presentation transcript:

Successful early surgical recruitment of the congenitally disconnected pulmonary artery David N Murphy, MBBS, David S Winlaw, MBBS, MD, Steve G Cooper, MB ChB, Graham R Nunn, MBBS The Annals of Thoracic Surgery Volume 77, Issue 1, Pages 29-35 (January 2004) DOI: 10.1016/S0003-4975(03)01504-2

Fig 1 Prerecruitment cardiac catheterization (case 3) with a retrograde left upper pulmonary vein wedge injection showing the disconnected hilar left pulmonary artery. The Annals of Thoracic Surgery 2004 77, 29-35DOI: (10.1016/S0003-4975(03)01504-2)

Fig 2 Lung perfusion scan (case 2) showing pulmonary perfusion after surgical recruitment of a disconnected left pulmonary artery. The Annals of Thoracic Surgery 2004 77, 29-35DOI: (10.1016/S0003-4975(03)01504-2)

Fig 3 Postrecruitment cardiac catheterization (case 3) with an aortogram showing a systemic shunt from the aberrant left subclavian artery into a well-developed left pulmonary artery. In this image the proximal stump of ductus diverticulum can be seen on the underside of the left common carotid artery. The Annals of Thoracic Surgery 2004 77, 29-35DOI: (10.1016/S0003-4975(03)01504-2)

Fig 4 Intraoperative assessment of pulmonary arteries (case 6) with this series of photographic images from a head-mounted camera at the time of the second operation showing (A) disconnected left pulmonary artery (LPA) mobilized and held in clamp and (B) anastomosis between LPA and main pulmonary artery (MPA). The Annals of Thoracic Surgery 2004 77, 29-35DOI: (10.1016/S0003-4975(03)01504-2)

Fig 5 Magnetic resonance imaging (case 6) with a coronal plane image showing a right modified Blalock-Taussig shunt into a good-sized left pulmonary artery (LPA). (Ao = aorta.) The Annals of Thoracic Surgery 2004 77, 29-35DOI: (10.1016/S0003-4975(03)01504-2)