Homograft neo pulmonary artery following banding of hemitruncus

  • Sachin TalwarEmail author
  • Anish Gupta
  • Shiv Kumar Choudhary

Dear Editor,

Anomalous origin of a pulmonary artery from the aorta (AOPA), commonly referred to as the “hemitrunus,” is a rare congenital anomaly. Dealing with surgical repair for this anomaly consists of detaching the anomalous pulmonary artery (PA) from the aorta and connecting it to the main or opposite PA. It is extremely rare to encounter a patient in whom an unconventional repair procedure has been performed, which adds considerable morbidity at the time of reoperation. We recently encountered a 19-month patient with AOPA who had undergone banding of the anomalous right pulmonary artery (RPA) from the aorta as a primary palliation in the neonatal period. At the time of complete repair, a direct connection to the main PA was impossible; hence, an alternative strategy was needed. In this letter to editor, we highlight the considerable morbidity and difficulties at definitive repair.

As an initial palliation, a male baby weighing 2 kg had undergone banding of the origin of the RPA...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human rights/ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Institutional and National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this study, formal ethics committee clearance was not required.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Sugimoto S, Kikuchi S, Oosawa H, Hachiro Y, Takagi N, Abe T. A reoperation for anomalous origin of right pulmonary artery: report of a case. Surg Today. 2001;31:643–5.Google Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2019

Authors and Affiliations

  1. 1.Department of Cardiothoracic and Vascular Surgery, Cardiothoracic CentreAll India Institute of Medical SciencesNew DelhiIndia

Personalised recommendations