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Aberrant Left Pulmonary Artery

Aberrant Left Pulmonary Artery Abstract IN ANOMALOUS or aberrant left pulmonary artery, the main pulmonary trunk arises in a normal manner from the right ventricle and passes upwards and to the right as the main pulmonary artery. It then lies anterior and to the right of the trachea in the vicinity of the carina. At this point the aberrant left pulmonary artery arises and passes over the right main bronchus and behind the trachea, anterior to the esophagus, compressing these structures and sometimes the left main bronchus to a variable degree as it courses to enter the hilus of the left lung (Fig 1). The earliest reports of this malformation are of necropsy specimens.1-3 The anomaly was first recognized during life in 1953 by Welsh and Munro4 and by Potts and his associates.5 The latter group demonstrated that this condition was amenable to surgical correction and emphasized the importance of this cause References 1. Glaevecke, and Doehle: Ueber eine seltene angeborene Anomalie der Pulmonalarterie , München Med Wschr 44:950 ( (Aug 24) ) 1897. 2. Scheid, P.: Missbildung des Trachealskelettes und der linken Arteria pulmonalis mit Erstickungstod bei 7 Monate altem Kind , Z Path 52:114-124, 1938. 3. Quist-Hanssen, S.: Mutual Compression of the Right Main Bronchus and an Abnormal Left Pulmonary Artery as Causes of the Death of a 7-Week-Old Child , Acta Paediat 37:87-94, 1949.Crossref 4. Welsh, T.M., and Munro, I.B.: Congenital Stridor Caused by an Aberrant Pulmonary Artery , Arch Dis Child 29:101-103 ( (April) ) 1954.Crossref 5. Potts, W.J.; Holinger, P.H.; and Rosenblum, A.H.: Anomalous Left Pulmonary Artery Causing Obstruction to Right Main Bronchus: Report of a Case , JAMA 155:1409-1411 ( (Aug 14) ) 1954.Crossref 6. Morse, H.R., and Gladding, S.: Bronchial Obstruction due to Misplaced Left Pulmonary Artery , Amer J Dis Child 89:351-353 ( (March) ) 1955. 7. Wittenborg, M.H.; Tantiwongse, T., and Rosenberg, B.F.: Anomalous Course of Left Pulmonary Artery With Respiratory Obstruction , Radiology 67:339-345 ( (Sept) ) 1956.Crossref 8. Hiller, H.G., and Maclean, A.D.: Pulmonary Artery Ring , Acta Radiol 48:434-438 ( (Dec) ) 1957.Crossref 9. Contro, S., et al: Bronchial Obstruction due to Pulmonary Artery Anomalies: I. Vascular Sling , Circulation 17:418-423 ( (March) ) 1958.Crossref 10. Sherman, F.E.: Anomalous Course of Left Pulmonary Artery: A Cause of Obstructive Emphysema in Infants , J Pediat 54:93-98 ( (Jan) ) 1959.Crossref 11. Schutt, W.H., and Robb, P.M.: Respiratory Stridor Produced by an Aberrant Pulmonary Artery , Arch Dis Child 34:202-204 ( (June) ) 1959.Crossref 12. Rudhe, U., and Zetterqvist, P.: Aberrant Left Pulmonary Artery , Acta Chir Scand , (suppl 245) , pp 331-335, 1959. 13. Derrick, J.R., and Stoeckle, H.: Bronchial Obstruction Secondary to an Aberrant Pulmonary Artery , Amer J Dis Child 99:830-832 ( (June) ) 1960. 14. Niwayama, G.: Unusual Vascular Ring Formed by the Anomalous Left Pulmonary Artery, With Tracheal Compression , Amer Heart J 59:454-461 ( (March) ) 1960.Crossref 15. Jacobson, J.H., II, et al: Aberrant Left Pulmonary Artery: A Correctable Cause of Respiratory Obstruction , J Thorac Cardiov Surg 39:602-612 ( (May) ) 1960. 16. Tan-Vinh, L.; Alagille, D.; and Van Phuoc, N.: Artere pulmonaire gauche anormale , Arch Franc Pédiat 18:248-262 ( (Feb) ) 1961. 17. Hahn, C.; Brom, A.G.; and Nauta, J.: Chirurgie du coeur , Bibl Cardiol 3:160, 1962. 18. Bozič, C.: Artère pulmonaire gauche aberrante , Rev Méd Suisse Rom 83:1016-1020 ( (Dec) ) 1963. 19. Pontius, R.G.: Bronchial Obstruction of Congenital Origin , Amer J Surg 106:8-14 ( (July) ) 1963.Crossref 20. Murphy, D.R., et al: Tracheobronchial Compression due to a Vascular Sling , Surg Gynec Obstet 118:572-578 ( (March) ) 1964. 21. Fontan, A., et al: Anomalie de division de l'artère pulmonaire avec trajet récurrent de la branche gauche et obstruction respiratoire chronique , Ann Pédiat (Paris) 11:333-340 ( (June) -July) 1964. 22. Neimann, N., et al: Trajet aberrant de l'artere pulmonaire gauche et stenose bronchique , Arch Franc Pédiat 21:397-412 ( (April) ) 1964. 23. Heinemann, F.: Stenose der Trachea durch anormalen Verlauf der Arteria pulmonalis sinistra , Med Welt 29:1592-1593 ( (July 18) ) 1964. 24. Chih-Hsiang, H.: Anomalous Left Pulmonary Artery Causing Stenosis of Trachea , Chin Med J 83:475-477 ( (July) ) 1964. 25. Mustard, W.T.; Trimble, A.W.; and Trusler, G.A.: Mediastinal Vascular Anomalies Causing Tracheal and Esophageal Compression and Obstruction in Childhood , Canad Med Assoc J 87:1301-1305 ( (Dec 22) ) 1962. 26. Jue, K.L., et al: Anomalous Origin of the Left Pulmonary Artery From the Right Pulmonary Artery: Report of 2 Cases and Review of the Literature , Amer J Roentgen 95:598-610 ( (Nov) ) 1965.Crossref 27. Congdon, E.D.: " Transformation of the Aortic-Arch System During the Development of the Human Embryo ," in Contributions to Embryology . no. (68) , Washington: Carnegie Institution of Washington, 1922, vol 14, pp 49-110. 28. Beabout, J.W.; Stewart, J.R.; and Kincaid, O.W.: Aberrant Right Subclavian Artery: Dispute of Commonly Accepted Concepts , Amer J Roentgen 92:855-864 ( (Oct) ) 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1967.02090180133015
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Abstract

Abstract IN ANOMALOUS or aberrant left pulmonary artery, the main pulmonary trunk arises in a normal manner from the right ventricle and passes upwards and to the right as the main pulmonary artery. It then lies anterior and to the right of the trachea in the vicinity of the carina. At this point the aberrant left pulmonary artery arises and passes over the right main bronchus and behind the trachea, anterior to the esophagus, compressing these structures and sometimes the left main bronchus to a variable degree as it courses to enter the hilus of the left lung (Fig 1). The earliest reports of this malformation are of necropsy specimens.1-3 The anomaly was first recognized during life in 1953 by Welsh and Munro4 and by Potts and his associates.5 The latter group demonstrated that this condition was amenable to surgical correction and emphasized the importance of this cause References 1. Glaevecke, and Doehle: Ueber eine seltene angeborene Anomalie der Pulmonalarterie , München Med Wschr 44:950 ( (Aug 24) ) 1897. 2. Scheid, P.: Missbildung des Trachealskelettes und der linken Arteria pulmonalis mit Erstickungstod bei 7 Monate altem Kind , Z Path 52:114-124, 1938. 3. Quist-Hanssen, S.: Mutual Compression of the Right Main Bronchus and an Abnormal Left Pulmonary Artery as Causes of the Death of a 7-Week-Old Child , Acta Paediat 37:87-94, 1949.Crossref 4. Welsh, T.M., and Munro, I.B.: Congenital Stridor Caused by an Aberrant Pulmonary Artery , Arch Dis Child 29:101-103 ( (April) ) 1954.Crossref 5. Potts, W.J.; Holinger, P.H.; and Rosenblum, A.H.: Anomalous Left Pulmonary Artery Causing Obstruction to Right Main Bronchus: Report of a Case , JAMA 155:1409-1411 ( (Aug 14) ) 1954.Crossref 6. Morse, H.R., and Gladding, S.: Bronchial Obstruction due to Misplaced Left Pulmonary Artery , Amer J Dis Child 89:351-353 ( (March) ) 1955. 7. Wittenborg, M.H.; Tantiwongse, T., and Rosenberg, B.F.: Anomalous Course of Left Pulmonary Artery With Respiratory Obstruction , Radiology 67:339-345 ( (Sept) ) 1956.Crossref 8. Hiller, H.G., and Maclean, A.D.: Pulmonary Artery Ring , Acta Radiol 48:434-438 ( (Dec) ) 1957.Crossref 9. Contro, S., et al: Bronchial Obstruction due to Pulmonary Artery Anomalies: I. Vascular Sling , Circulation 17:418-423 ( (March) ) 1958.Crossref 10. Sherman, F.E.: Anomalous Course of Left Pulmonary Artery: A Cause of Obstructive Emphysema in Infants , J Pediat 54:93-98 ( (Jan) ) 1959.Crossref 11. Schutt, W.H., and Robb, P.M.: Respiratory Stridor Produced by an Aberrant Pulmonary Artery , Arch Dis Child 34:202-204 ( (June) ) 1959.Crossref 12. Rudhe, U., and Zetterqvist, P.: Aberrant Left Pulmonary Artery , Acta Chir Scand , (suppl 245) , pp 331-335, 1959. 13. Derrick, J.R., and Stoeckle, H.: Bronchial Obstruction Secondary to an Aberrant Pulmonary Artery , Amer J Dis Child 99:830-832 ( (June) ) 1960. 14. Niwayama, G.: Unusual Vascular Ring Formed by the Anomalous Left Pulmonary Artery, With Tracheal Compression , Amer Heart J 59:454-461 ( (March) ) 1960.Crossref 15. Jacobson, J.H., II, et al: Aberrant Left Pulmonary Artery: A Correctable Cause of Respiratory Obstruction , J Thorac Cardiov Surg 39:602-612 ( (May) ) 1960. 16. Tan-Vinh, L.; Alagille, D.; and Van Phuoc, N.: Artere pulmonaire gauche anormale , Arch Franc Pédiat 18:248-262 ( (Feb) ) 1961. 17. Hahn, C.; Brom, A.G.; and Nauta, J.: Chirurgie du coeur , Bibl Cardiol 3:160, 1962. 18. Bozič, C.: Artère pulmonaire gauche aberrante , Rev Méd Suisse Rom 83:1016-1020 ( (Dec) ) 1963. 19. Pontius, R.G.: Bronchial Obstruction of Congenital Origin , Amer J Surg 106:8-14 ( (July) ) 1963.Crossref 20. Murphy, D.R., et al: Tracheobronchial Compression due to a Vascular Sling , Surg Gynec Obstet 118:572-578 ( (March) ) 1964. 21. Fontan, A., et al: Anomalie de division de l'artère pulmonaire avec trajet récurrent de la branche gauche et obstruction respiratoire chronique , Ann Pédiat (Paris) 11:333-340 ( (June) -July) 1964. 22. Neimann, N., et al: Trajet aberrant de l'artere pulmonaire gauche et stenose bronchique , Arch Franc Pédiat 21:397-412 ( (April) ) 1964. 23. Heinemann, F.: Stenose der Trachea durch anormalen Verlauf der Arteria pulmonalis sinistra , Med Welt 29:1592-1593 ( (July 18) ) 1964. 24. Chih-Hsiang, H.: Anomalous Left Pulmonary Artery Causing Stenosis of Trachea , Chin Med J 83:475-477 ( (July) ) 1964. 25. Mustard, W.T.; Trimble, A.W.; and Trusler, G.A.: Mediastinal Vascular Anomalies Causing Tracheal and Esophageal Compression and Obstruction in Childhood , Canad Med Assoc J 87:1301-1305 ( (Dec 22) ) 1962. 26. Jue, K.L., et al: Anomalous Origin of the Left Pulmonary Artery From the Right Pulmonary Artery: Report of 2 Cases and Review of the Literature , Amer J Roentgen 95:598-610 ( (Nov) ) 1965.Crossref 27. Congdon, E.D.: " Transformation of the Aortic-Arch System During the Development of the Human Embryo ," in Contributions to Embryology . no. (68) , Washington: Carnegie Institution of Washington, 1922, vol 14, pp 49-110. 28. Beabout, J.W.; Stewart, J.R.; and Kincaid, O.W.: Aberrant Right Subclavian Artery: Dispute of Commonly Accepted Concepts , Amer J Roentgen 92:855-864 ( (Oct) ) 1964.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Mar 1, 1967

References