Fig. 2. (A) With anulo-aortic ectasia and severe aortic insufficiency, pulmonary artery valve displasia and severe insufficiency, pulmonary artery ectasia, the patient underwent a surgical intervention. Ascending aorta (Ao) and pulmonary artery trunk (PA) were exposed by median sternotomy. (B) Ascending aorta aneurysm and aortic valve were replaced with bioprosthesis and Dacron conduit. Pulmona...

the majority of coronary artery fistulas (cafs) are congenital. the anomaly accounts for 0.4% of congenital heart defects and approximately 50% of pediatric coronary vasculature anomalies. twenty percent of people with congenital cafs have other concomitant cardiac anomalies, most frequently aortic and pulmonary atresia and patent ductus arteriosus. it is worthy of note that caf with the tetral...

BACKGROUND Coronary artery fistula and single coronary artery are two different rare congenital anomalies. The cases with co-existed the two anomalies are more rare. To the best of our knowledge with literature review, the coronary artery fistula between single right coronary artery and right pulmonary artery has not been previously reported. CASE PRESENTATION In the present article, we repor...

a pulmonary embolus clogs the artery that provides blood supply to a part of the lung. the embolus not only prevents the exchange of oxygen and carbon dioxide but also decreases blood supply to the lung tissue itself, potentially causing the tissue to die (infarct). a 52-year-old man presented with syncope and anxiety. he had sinus tachycardia and dilated right ventricle with trabeculations. a ...

In a patient with pulmonary valve atresia with hypoplastic main pulmonary artery selective angiography showed absence of the central left pulmonary artery and a right pulmonary artery originating from the ascending aorta close to the left coronary artery. This unusual anatomical arrangement complicates interventional and surgical treatment.

Congenital systemic-to-pulmonary artery fistulas are very rare, with the exception of congenital heart disease and pulmonary sequestration. We describe the first reported case of left internal mammary and bronchial artery to pulmonary artery fistulas associated with bilateral coronary arteries to pulmonary artery fistulas.

Pulmonary angiogram of chronic pulmonary embolism. A 31-year-old man with progressive dyspnea and clinical evidence of pulmonary hypertension had right heart pressures as follows: right atrium, 12; right ventricle, = 98/18; pulmonary artery, 90/40; mean, 65; and pulmonary capillary wedge, 8 mm Hg. The contrast pulmonary angiogram shows occlusion of the descending left pulmonary artery and 80% s...

The central pulmonary artery was studied angiographically 1-10 years after a palliative operation in 56 patients (mean age 6 years, range 1-20) with congenital heart disease and pulmonary atresia. All of them had originally had a central pulmonary artery that was common to both the right and left pulmonary arteries. Juxtaductal obstruction of the left pulmonary artery had developed in 70% of th...

OBJECTIVE The state of pulmonary vascular bed in congenital heart disease is the predictor of the patients clinical condition, prognosis and outcome of surgical intervention. This study aims to investigate the condition of pulmonary vascular bed analyzing pulmonary artery stiffness by means of Doppler echocardiography. METHODS Thirty-three patients (16 females, mean age 26+/-15 years) with va...

UNLABELLED Cardiac catheterization is the reference method for the hemodynamic study of the pulmonary circulation. However, cardiac catheterization is an expensive and invasive method. Echocardiography is a reliable noninvasive alternative method. The purpose of our study was to determine the correlation between echocardiographic and haemodynamic data obtained by cardiac catheterization in pati...