CASE REPORTS<br>Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Jacek Juscinski; Ireneusz Haponiuk; Maciej Chojnicki; Mariusz Steffens; Aneta Szofer-Sendrowska; Radoslaw Jaworski; Ewelina Kwasniak; Pawel Żelechowski

doi:10.5114/kitp.2014.45687

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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abstract:

CASE REPORTS
Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Jacek Juscinski

,

Ireneusz Haponiuk

,

Maciej Chojnicki

,

Mariusz Steffens

,

Aneta Szofer-Sendrowska

,

Radoslaw Jaworski

,

Ewelina Kwasniak

,

Pawel Żelechowski

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (3): 336-338

DOI: https://doi.org/10.5114/kitp.2014.45687

Online publish date: 2014/10/07

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AMA

Juscinski J, Haponiuk I, Chojnicki M, et al. CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2014;11(3):336-338. doi:10.5114/kitp.2014.45687.

APA

Juscinski, J., Haponiuk, I., Chojnicki, M., Steffens, M., Szofer-Sendrowska, A.,  & Jaworski, R. et al. (2014). CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 11(3), 336-338. https://doi.org/10.5114/kitp.2014.45687

Chicago

Juscinski, Jacek, Ireneusz Haponiuk, Maciej Chojnicki, Mariusz Steffens, Aneta Szofer-Sendrowska, Radoslaw Jaworski,  and Ewelina Kwasniak et al. 2014. "CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 11 (3): 336-338. doi:10.5114/kitp.2014.45687.

Harvard

Juscinski, J., Haponiuk, I., Chojnicki, M., Steffens, M., Szofer-Sendrowska, A., Jaworski, R., Kwasniak, E.,  and Żelechowski, P. (2014). CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 11(3), pp.336-338. https://doi.org/10.5114/kitp.2014.45687

MLA

Juscinski, Jacek et al. "CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 11, no. 3, 2014, pp. 336-338. doi:10.5114/kitp.2014.45687.

Vancouver

Juscinski J, Haponiuk I, Chojnicki M, Steffens M, Szofer-Sendrowska A, Jaworski R et al. CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2014;11(3):336-338. doi:10.5114/kitp.2014.45687.

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Anomalies in development of the pulmonary valve, pulmonary trunk and peripheral pulmonary arteries are typical accompanying pathologies in patients with tetralogy of Fallot (ToF). Demanding for diagnostics and borderline for treatment is a condition colloquially called “discontinuous pulmonary arteries”, while the main branches are supplied with systemic blood from the ascending aorta, aortic arch or descending thoracic aorta.

We present a case of a one-year-old girl with ToF and anomalous origin of the left pulmonary artery (LPA) from Kommerell’s diverticulum who underwent two-stage surgical therapy with the support of interventional cardiology.

We conclude that early diagnosis of discontinuous pulmonary artery is crucial for choosing the optimal operative strategy. In our opinion, simultaneous anatomic intracardiac correction with direct pulmonary reconstruction seems reasonable and effective, particularly when the result is achieved after joint efforts of cardiac surgery and interventional cardiology.

keywords:

CASE REPORTSOperative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Jacek Juscinski , Ireneusz Haponiuk , Maciej Chojnicki , Mariusz Steffens , Aneta Szofer-Sendrowska , Radoslaw Jaworski , Ewelina Kwasniak , Pawel Żelechowski

tetralogy of Fallot, pulmonary arteries discontinuity, Kommerell diverticulum, anomalous origin of left pulmonary artery

CASE REPORTS
Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Jacek Juscinski

,

Ireneusz Haponiuk

,

Maciej Chojnicki

,

Mariusz Steffens

,

Aneta Szofer-Sendrowska

,

Radoslaw Jaworski

,

Ewelina Kwasniak

,

Pawel Żelechowski