Anomalous origin of left pulmonary artery branch from the aorta with Fallot's tetralogy.

We report the case of a ten-year-old boy who had often presented with respiratory distress since birth. Chest X-ray showed an enlarged right ventricle. Echocardiography demonstrated TGE characteristic features of Fallot's tetralogy and the left pulmonary artery could not be visualized. However, cardiac catheterization disclosed that the left pulmonary artery had an anomalous origin from the ascending aorta. The patient underwent total surgical correction of the defects. Nine days later, he was discharged.We present the results of a literature review of the incidence,physiopathological, clinical, diagnostic, and surgical characteristics of this rare disease.