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 Unusual case of isolated major aortopulmonary collateral artery perfusing entire functional left lower lobe of the lung

Kyle W Riggs1, Siddharth Mahajan2, Dipak Kholwadwala2, David Meyer1, Vincent A Parnel1
1 Department of Pediatric Cardiothoracic Surgery, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New York City, New York
2 Department of Pediatric Cardiology, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New York City, New York

Correspondence Address:
Dr. Siddharth Mahajan
Department of Pediatric Cardiology, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, 269-01 76th Avenue, New Hyde Park, New York City, 11040
New York
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_133_20

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Year : 2021  |  Volume : 14  |  Issue : 4  |  Page : 547-549

 
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Pulmonary sequestrations are nonfunctioning pulmonary parenchyma supplied by a systemic artery. We describe an 18-month-old baby girl with no significant past medical history who was found to have a large isolated collateral from the aorta entirely perfusing the functional left lower lobe. Cardiac catheterization confirmed the major aortopulmonary collateral artery supplying the left lower lobe with normal drainage into the left atrium. At a multidisciplinary meeting, decision was made to preserve the functional lobe. During surgery, the collateral artery was dissected and its course within the pleural space appreciated, the main left pulmonary artery was isolated. Intraoperatively surgeons anastomosed an 8 mm ringed conduit from the left pulmonary artery, anteriorly to the proximal aspect of the collateral. The patient tolerated the surgery well. Postoperative echocardiogram showed pulmonary flow to the lower lobe, and she was discharged home on postoperative day 2 without complications.






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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008

 

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Kyle W Riggs1, Siddharth Mahajan2, Dipak Kholwadwala2, David Meyer1, Vincent A Parnel1
1 Department of Pediatric Cardiothoracic Surgery, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New York City, New York
2 Department of Pediatric Cardiology, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New York City, New York

Correspondence Address:
Dr. Siddharth Mahajan
Department of Pediatric Cardiology, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, 269-01 76th Avenue, New Hyde Park, New York City, 11040
New York
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_133_20

Rights and Permissions

Pulmonary sequestrations are nonfunctioning pulmonary parenchyma supplied by a systemic artery. We describe an 18-month-old baby girl with no significant past medical history who was found to have a large isolated collateral from the aorta entirely perfusing the functional left lower lobe. Cardiac catheterization confirmed the major aortopulmonary collateral artery supplying the left lower lobe with normal drainage into the left atrium. At a multidisciplinary meeting, decision was made to preserve the functional lobe. During surgery, the collateral artery was dissected and its course within the pleural space appreciated, the main left pulmonary artery was isolated. Intraoperatively surgeons anastomosed an 8 mm ringed conduit from the left pulmonary artery, anteriorly to the proximal aspect of the collateral. The patient tolerated the surgery well. Postoperative echocardiogram showed pulmonary flow to the lower lobe, and she was discharged home on postoperative day 2 without complications.






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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008