Homograft neo pulmonary artery following banding of hemitruncus
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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...
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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 was obtained from all individual participants included in the study.
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