1. Multimodality imaging of the anomalous origin of the right pulmonary artery from the ascending aorta in an adult (hemitruncus arteriosus)
- Author
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Aloha Meave-González, Sergio Criales-Vera, Roberto Cano-Zarate, María del Carmen Lopez-Rodríguez, Erick Alexanderson-Rosas, America G. Urbina-Vazquez, Nilda Espinola-Zavaleta, and Susana Ortega-Silva
- Subjects
congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Ductus arteriosus ,Internal medicine ,medicine.artery ,Ascending aorta ,medicine ,Hemitruncus ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,medicine.diagnostic_test ,business.industry ,medicine.disease ,Pulmonary hypertension ,Right pulmonary artery ,medicine.anatomical_structure ,Heart failure ,embryonic structures ,Angiography ,Pulmonary artery ,cardiovascular system ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Anomalous origin of the pulmonary artery branches is a rare phenomenon. We describe a case of an adult with anomalous origin of the right pulmonary artery (hemitruncus arteriosus) associated with patent ductus arteriosus. Non-invasive imaging studies played an important role in the diagnosis and follow-up. Angiography allowed to determine the severity of pulmonary hypertension. He underwent surgical closure of patent ductus arteriosus, redirection of right pulmonary artery and atrioseptostomy with decrease of the pulmonary pressure in the follow-up. A high index of clinical suspicion of this entity is required in adults with heart failure, recurrent hemoptysis and pulmonary hypertension, because it could go unnoticed.
- Published
- 2020
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