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A Technique for Pulmonary Artery Reconstruction for Ductal Origin of the Right Pulmonary Artery

  • Sujata Subramanian
    Correspondence
    Address reprint requests to: Sujata Subramanian, MD, Department of Surgery and Perioperative Care Dell Medical School at the University of Texas at Austin; Texas Center for Pediatric and Congenital Heart Disease, UT Health Austin and Dell Children's Medical Center, 4910 Mueller Blvd #100, Austin, TX 78723.
    Affiliations
    Department of Surgery and Perioperative Care Dell Medical School at the University of Texas at Austin; Texas Center for Pediatric and Congenital Heart Disease, UT Health Austin and Dell Children's Medical Center, Austin, TX.
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  • Christine E. Gough
    Affiliations
    Texas Center for Pediatric and Congenital Heart Disease, UT Health Austin and Dell Children's Medical Center, Austin, TX.
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  • Richard P. Lion
    Affiliations
    Department of Pediatrics, Dell Medical School-The University of Texas at Austin-Texas Center for Pediatric and Congenital Heart Disease at Dell Children's Medical Center, Austin, TX.
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  • Charles D. Fraser Jr.
    Affiliations
    Department of Surgery and Perioperative Care Dell Medical School at the University of Texas at Austin; Texas Center for Pediatric and Congenital Heart Disease, UT Health Austin and Dell Children's Medical Center, Austin, TX.
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      Ductal origin of the pulmonary artery is a rare cardiovascular anomaly; it is often mislabeled as absent pulmonary artery or pulmonary artery agenesis resulting in delayed interventions. We present a case of ductal origin of the right pulmonary artery highlighting the need for early detection and prompt intervention to reestablish perfusion to the lung. This approach allows for continued lung development and reduces the morbidity related to single lung physiology. The aim of this article is to describe a refinement in the operative technique used in the reconstruction of the ductal origin of the right pulmonary artery via creation of an interposition homograft roll for centralization.

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