Brenner Children's Hospital, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Cardiol Young. 2020 Apr;30(4):574-576. doi: 10.1017/S1047951120000396. Epub 2020 Feb 27.
True absence of a branch pulmonary artery is rare. We identified a patient initially diagnosed with an absent left pulmonary artery at a previous hospital. Due to disagreement in the initial diagnosis, she had a diagnostic catheterisation, which revealed an isolated left pulmonary artery off the left innominate artery via a ductus. The ductus was recanalised with serial stenting and balloon dilatation followed by reanastomosis to the main pulmonary artery. In a patient who initially is diagnosed with an absent pulmonary artery, an alternative diagnosis, such as this case report, should be considered.
真正的肺动脉缺如非常罕见。我们发现了一名患者，她最初在一家先前的医院被诊断为左肺动脉缺如。由于最初的诊断存在分歧，她进行了诊断性心导管检查，结果显示左无名动脉分出的孤立的左肺动脉通过动脉导管与主肺动脉相通。动脉导管经多次支架置入和球囊扩张后再通，然后重新吻合到主肺动脉。对于最初被诊断为肺动脉缺如的患者，应考虑其他诊断，如本病例报告。
