https://scholars.lib.ntu.edu.tw/handle/123456789/475633
Title: | Crossed pulmonary arteries: Report of two cases with emphasis on three-dimensional helical computed tomographic imaging | Authors: | BANG-BIN CHEN Hsieh H.-J. ING-SH CHIU SHYH-JYE CHEN MEI-HWAN WU |
Issue Date: | 2008 | Publisher: | Scientific Communications International Ltd | Journal Volume: | 107 | Journal Issue: | 3 | Start page/Pages: | 265-269 | Source: | Journal of the Formosan Medical Association | Abstract: | Crossed pulmonary arteries are due to an anomalous origin of both pulmonary arteries from the main pulmonary trunk. This anatomy is often associated with other congenital cardiac and extracardiac diseases. We report two neonates with complex congenital heart disease who had this disorder, which was detected during cardiac computed tomography (CT) with three-dimensional reconstruction but not during echocardiography or angiography. The first patient was a 3-day-old male neonate who had tachypnea and feeding problems since birth. Cardiac CT showed crossed pulmonary arteries, type B interruption of the aortic arch, a ventricular septal defect, and a large patent ductus arteriosus. He received an emergency T-colostomy at 3 days of age because of severe bowel distention. Low-type imperforated anus was diagnosed. His post-operative course was complicated with fluctuated saturation, seizure, hypocalcemia, hyperphosphatemia, and sepsis. Also found were cardiac defects, abnormal facies, thymic hypoplasia, cleft palate, hypocalcemia, and a variable deletion on chromosome 22q11 (CATCH 22 disorder). Because of his poor prognosis, the patient was transferred to another hospital on day 16 for further care, at the family's request. The other patient was a 5-day-old female neonate who had a heart murmur since birth. Cardiac CT showed crossed pulmonary arteries, truncus arteriosus, type A interruption of the aortic arch, a ventricular septal defect, an atrial septal defect, and a large patent ductus arteriosus. She received complete surgical correction, including division of the patent ductus arteriosus and repair of the other defects. Intermittent respiratory distress and decreased blood pressure complicated her postoperative course, and she died on the eighth day after surgery. Crossed pulmonary arteries complicated accurate interpretation of two-dimensional echocardiographs of the great vessels, as well as the course and location of catheters during cardiac catheterization. Three-dimensional CT provided a noninvasive approach to clearly recognize these malformations and the related anatomic structures. This information is important in planning and performing surgery in neonates with crossed pulmonary arteries. ? 2008 Elsevier & Formosan Medical Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-42949149741&doi=10.1016%2fS0929-6646%2808%2960146-1&partnerID=40&md5=490445c24d6b8b5d425e0a4de287ca1e https://scholars.lib.ntu.edu.tw/handle/123456789/475633 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(08)60146-1 | SDG/Keyword: | antibiotic agent; C reactive protein; calcium; digoxin; dobutamine; furosemide; lorazepam; prostaglandin; abdominal distension; angiography; anus atresia; aorta arch interruption; article; case report; chromosome 22q; chromosome deletion; cleft palate; colostomy; congenital heart disease; face malformation; fatality; feeding disorder; female; fluorescence in situ hybridization; heart atrium septum defect; heart catheterization; heart murmur; heart ventricle septum defect; human; hyperphosphatemia; hypocalcemia; hypotension; image reconstruction; intestine distension; leukocytosis; male; newborn; oxygen saturation; patent ductus arteriosus; prognosis; pulmonary artery malformation; respiratory distress; resuscitation; seizure; sepsis; spiral computer assisted tomography; tachypnea; three dimensional imaging; two dimensional echocardiography |
Appears in Collections: | 醫學系 |
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