Abstract
Anomalous origin of one pulmonary artery from the aorta, or hemitruncus, is a rare cardiac malformation. We report a case of left hemitruncus (aortic origin of the left pulmonary artery) associated with tetralogy of Fallot diagnosed in utero. To the authors’ knowledge, this is the first such case diagnosed by fetal echocardiography to be described in the literature. The condition was documented by postnatal echocardiogram and cardiac computed tomography. Prompt recognition of this lesion is essential for early repair to improve outcome.
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References
Aru GM, English WP, Gaymes CH, Heath BJ (2001) Origin of the left pulmonary artery from the aorta: embryologic considerations. Ann Thorac Surg 71:1008–1010
Berry TE, Bharati S, Muster AJ, Idriss FS, Santucci B, Lev M et al (1982) Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: a newly recognized syndrome. Am J Cardiol 49:108–116
Czarnecki SW, Hopeman AR, Child PL (1964) Tetralogy of Fallot with aortic origin of the left pulmonary artery: radiographic and angiocardiographic considerations. Report of a case. Dis Chest 46:97–101
Duncan WJ, Freedom RM, Olley PM, Rowe RD (1981) Two-dimensional echocardiographic identification of hemitruncus: anomalous origin of one pulmonary artery from ascending aorta with the other pulmonary artery arising normally from right ventricle. Am Heart J 102:892–896
Fontana GP, Effman EL, Sabiston DC Jr (1987) Origin of the right pulmonary artery from the ascending aorta. Ann Surg 206:102–113
Fraentzel O (1868) Ein Fall von abnormer communication der aorta mit der arteria pulmonalis. Virchows Arch Pathol 43:420–426
Gerlis LM, Ho SY, Smith A, Anderson RH (1990) The site of origin of nonconfluent pulmonary arteries from a common arterial trunk or from the ascending aorta: Its morphological significance. Am J Cardiovasc Pathol 3:115–120
Kutsche LM, Van Mierop LH (1988) Anomalous origin of a pulmonary artery from the ascending aorta: associated anomalies and pathogenesis. Am J Cardiol 61:850–856
Nathan M, Rimmer D, Piercey G, del Nido PJ, Mayer JE, Bacha EA et al (2007) Early repair of hemitruncus: excellent early and late outcomes. J Thorac Cardiovasc Surg 133:1329–1335
Penkoske PA, Castaneda AR, Fyler DC, Van Praagh R (1983) Origin of pulmonary artery branch from ascending aorta. Primary surgical repair in infancy. J Thorac Cardiovasc Surg 85:537–545
Peng EW, Shanmugam G, Macarthur KJ, Pollock JC (2004) Ascending aortic origin of a branch pulmonary artery—surgical management and long-term outcome. Eur J Cardiothorac Surg 26:762–766
Robin E, Silberberg B, Ganguly SN, Magnisalis K (1975) Aortic origin of the left pulmonary artery. Variant of tetralogy of Fallot. Am J Cardiol 35:324–329
Schneiderman LJ (1958) Isolated congenital absence of the right pulmonary artery: a caution as to its diagnosis and proposal for its embryogenesis. Report of a case with review. Am Heart J 55:772–780
Soylu M, Demir AD, Tikiz H, Kisacik H, Korkmaz S (2000) Left hemitruncus associated with tetralogy of Fallot: a case report. Catheter Cardiovasc Interv 51:58–60
Van Mierop LHS, Kutsche LM (1986) Cardiovascular anomalies in DiGeorge syndrome and importance of neural crest as a possible pathogenic factor. Am J Cardiol 58:133–137
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Diab, K., Richardson, R., Pophal, S. et al. Left Hemitruncus Associated with Tetralogy of Fallot: Fetal Diagnosis and Postnatal Echocardiographic and Cardiac Computed Tomographic Confirmation. Pediatr Cardiol 31, 534–537 (2010). https://doi.org/10.1007/s00246-009-9604-1
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DOI: https://doi.org/10.1007/s00246-009-9604-1