Related Experiment Video

Updated: Oct 7, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.7K

Anomalous origin of one pulmonary artery from aorta: Evaluation on computed tomography angiography

Mansi Verma1, Niraj Nirmal Pandey1, Sivasubramanian Ramakrishnan2

  • 1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

Journal of Cardiac Surgery
|January 12, 2022
PubMed

Insights

Anomalous origin of pulmonary artery from aorta (AOPA) is rare and often linked to other heart defects. CT angiography is crucial for precise diagnosis and surgical planning in these complex cases.

Area of Science:

  • Cardiovascular Imaging and Diagnostics
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Anomalous origin of the pulmonary artery from aorta (AOPA) is a rare congenital heart defect.
  • It necessitates detailed anatomical assessment due to frequent associations with other cardiovascular anomalies.

Purpose of the Study:

  • To evaluate the morphological characteristics of AOPA.
  • To identify associated cardiovascular anomalies in patients with AOPA using CT angiography.

Main Methods:

  • Retrospective analysis of CT angiography data from January 2014 to September 2021.
  • Inclusion of patients diagnosed with AOPA.
  • Assessment of AOPA subtype, origin, and coexisting cardiac abnormalities.

Main Results:

  • AOPA was identified in 27 patients, with anomalous origin of the right pulmonary artery (AORPA) in 63% and anomalous origin of the left pulmonary artery (AOLPA) in 37%.
  • The proximal subtype of AOPA was more common (88.9%).
  • AOPA was associated with other cardiac anomalies in 92.6% of patients, including patent arterial duct (with AORPA) and tetralogy of Fallot (with AOLPA). Right-sided aortic arch was observed in 80% of AOLPA cases.

Conclusions:

  • AOPA is a rare condition frequently accompanied by significant cardiovascular anomalies.
  • CT angiography provides essential anatomical detail for surgical planning.
  • Early and accurate diagnosis aids in managing patients with AOPA and associated defects.
Abstract

Keywords:
anomalous origin of one pulmonary artery from aortacomputed tomography angiographycongenital heart disease

More Related Videos

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta07:12

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

3.1K
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

179

Related Concept Videos

Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
846
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
72
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
43
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
187
The Aorta01:14

The Aorta

The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
1.5K
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
38