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[Aberrant left pulmonary artery (author's transl)]

I Fidalgo, E Vigil, L Sota

    Anales Espanoles De Pediatria
    |May 1, 1980
    PubMed
    Summary

    Aberrant left pulmonary artery can cause severe respiratory distress in infants, sometimes associated with other congenital anomalies. In one case, symptoms spontaneously regressed over time.

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    Area of Science:

    • Cardiology
    • Pediatric Surgery
    • Radiology

    Background:

    • Aberrant left pulmonary artery (ALPA) is a rare congenital anomaly.
    • It can lead to significant respiratory compromise in neonates and infants.
    • Associated anomalies, such as esophageal atresia and Tetralogy of Fallot, can complicate presentation.

    Observation:

    • Two cases of ALPA are presented.
    • Symptoms included recurrent respiratory difficulty with wheezing, often preceded by upper respiratory infections.
    • Radiographic findings included unilateral or bilateral lung hyperinflation and atelectasis.

    Findings:

    • Diagnostic methods included esophagography revealing an esophageal notch, pulmonary gammagraphy showing diminished left lung perfusion, and pulmonary arteriography.
    • One infant with ALPA, esophageal atresia, and Tetralogy of Fallot died on the third day of life.
    • The second infant, aged three years, experienced spontaneous regression of ALPA symptoms over a 12-month period.

    Implications:

    • Early diagnosis of ALPA is crucial for appropriate management.
    • The varied clinical presentation necessitates a high index of suspicion.
    • The possibility of spontaneous symptom regression in ALPA warrants further investigation.

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