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Pediatric Cardiothoracic Surgery in Patients With Unilateral Pulmonary Agenesis or Aplasia  Tomomi Hasegawa, MD, Yoshihiro Oshima, MD, Ayako Maruo, MD,

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Presentation on theme: "Pediatric Cardiothoracic Surgery in Patients With Unilateral Pulmonary Agenesis or Aplasia  Tomomi Hasegawa, MD, Yoshihiro Oshima, MD, Ayako Maruo, MD,"— Presentation transcript:

1 Pediatric Cardiothoracic Surgery in Patients With Unilateral Pulmonary Agenesis or Aplasia 
Tomomi Hasegawa, MD, Yoshihiro Oshima, MD, Ayako Maruo, MD, Hironori Matsuhisa, MD, Akiko Yokoi, MD, Yuichi Okata, MD, Eiji Nishijima, MD, Masahiro Yamaguchi, MD  The Annals of Thoracic Surgery  Volume 97, Issue 5, Pages (May 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative assessment for a patient with right unilateral pulmonary agenesis. (A) Chest roentgenogram: opaque right hemithorax, rightward displacement of mediastinum and trachea, and left lung hyperinfiltration. (B) Axial image of chest computed tomography scan: absent lung on the right hemithorax with left lung herniation anteriorly across the midline, and displacement and rotation of the heart to the right side. (C) Bronchoscopy: absent right bronchus remnant (arrow) and left main bronchus at the level of the carina. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Surgical view of the heart in a patient with right unilateral pulmonary agenesis. (A) Through median sternotomy (case 5): the superior vena cava (SVC) and right atrium (RA) were situated deep posteriorly. (B) Through right thoracotomy (case 3): cardiopulmonary bypass was established with the ascending aortic cannula and bicaval venous cannulas. (Ao = aorta; IVC = inferior vena cava; LA = left atrium; LPA = left pulmonary artery; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Preoperative three-dimensional multidetector-row computed tomography angiography. (A) Anterior view of the heart in a patient with right unilateral pulmonary agenesis (case 5). (B) Extrinsic compression of the trachea (Tr) and the left main bronchus (LBr) by the dislocated aortic arch (case 12). (Ao = aorta; LA = left atrium; LPA = left pulmonary artery; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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