Tetralogy of Fallot with an aortic origin in the right pulmonary artery
Villavicencio, R.
Boletin de la Asociacion Medica de Puerto Rico 74(12): 387-389
1982
ISSN/ISBN: 0004-4849 PMID: 6086118 Document Number: 191228
The anomalous origin of the pulmonary artery from the ascending aorta is an infrequent congenital defect. The association of such anomaly with tetralogy of Fallot (T/F) is of rare occurrence and poses the threat of serious surgical complications during the repair of T/F if not previously recognized. A case is presented with the diagnosis of T/F in which the left pulmonary artery emerged from the right ventricle (Hemitruncus) and the right pulmonary artery from the ascending aorta. The diagnostic highlights are mentioned and the hemodynamic data is presented. The diagnostic right ventriculograms and aortograms are shown. The embriologic, clinical, and hemodynamic implications are discussed and the early surgical repair to prevent pulmonary vascular obstructive disease is stressed.
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