Evaluation of left pulmonary artery sling, associated cardiovascular anomalies, and surgical outcomes using cardiovascular computed tomography angiography
We evaluated the prevalence, image appearance, associated cardiovascular anomalies, and surgical outcomes of left pulmonary artery sling (LPAS) using cardiovascular computed tomography angiography (CCTA). A retrospective search of patients from our database between October 2007 and December 2014 ide...
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creator | Xie, Jiajun Juan, Yu-Hsiang Wang, Qiushi Chen, Jimei Zhuang, Jian Xie, Zhaofeng Liang, Changhong Zhu, Yulei Yu, Zhuliang Li, Jinglei Saboo, Sachin S. Liu, Hui |
description | We evaluated the prevalence, image appearance, associated cardiovascular anomalies, and surgical outcomes of left pulmonary artery sling (LPAS) using cardiovascular computed tomography angiography (CCTA). A retrospective search of patients from our database between October 2007 and December 2014 identified 52,200 patients with congenital heart diseases (CHD) referred for CCTA, echocardiography, or magnetic resonance imaging. Clinical information, CCTA findings, associated cardiovascular anomalies, and surgical outcomes were analyzed. We showed a hospital-based prevalence of 71 patients with LPAS (0.14%, 71/52,200) among CHD patients. Of these, 47 patients with CCTA examinations were assessed further. Most patients (40/47, 85%) had associated cardiovascular anomalies, of which ventricular septal defects (22/47, 47%), atrial septal defects (20/47, 43%), patent ductus arteriosus (16/47, 34%), persistent left superior vena cava (14/47, 30%), and abnormal branching of the right pulmonary artery (ABRPA) (14/47, 30%) were most commonly identified. In total, 28 patients underwent LPA reanastomosis and/or tracheoplasty in our center, and 5 died. LPAS had a hospital-based prevalence of 0.14% among CHD patients. ABRPA is not uncommon and must be recognized. CCTA is a feasible method for demonstrating LPAS and its associated cardiovascular anomalies for an optimal pre-operative assessment of LPAS. |
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A retrospective search of patients from our database between October 2007 and December 2014 identified 52,200 patients with congenital heart diseases (CHD) referred for CCTA, echocardiography, or magnetic resonance imaging. Clinical information, CCTA findings, associated cardiovascular anomalies, and surgical outcomes were analyzed. We showed a hospital-based prevalence of 71 patients with LPAS (0.14%, 71/52,200) among CHD patients. Of these, 47 patients with CCTA examinations were assessed further. Most patients (40/47, 85%) had associated cardiovascular anomalies, of which ventricular septal defects (22/47, 47%), atrial septal defects (20/47, 43%), patent ductus arteriosus (16/47, 34%), persistent left superior vena cava (14/47, 30%), and abnormal branching of the right pulmonary artery (ABRPA) (14/47, 30%) were most commonly identified. In total, 28 patients underwent LPA reanastomosis and/or tracheoplasty in our center, and 5 died. LPAS had a hospital-based prevalence of 0.14% among CHD patients. ABRPA is not uncommon and must be recognized. CCTA is a feasible method for demonstrating LPAS and its associated cardiovascular anomalies for an optimal pre-operative assessment of LPAS.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/srep40042</identifier><identifier>PMID: 28053308</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>59 ; 631/1647/245 ; 692/699/75/1539 ; Angiography ; Cardiovascular diseases ; Child, Preschool ; Computed tomography ; Computed Tomography Angiography ; Congenital Abnormalities - diagnostic imaging ; Congenital Abnormalities - epidemiology ; Congenital Abnormalities - surgery ; Coronary artery disease ; Echocardiography ; Female ; Heart diseases ; Humanities and Social Sciences ; Humans ; Infant ; Infant, Newborn ; Magnetic resonance imaging ; Male ; Medical imaging ; multidisciplinary ; Prevalence ; Pulmonary arteries ; Pulmonary artery ; Pulmonary Artery - abnormalities ; Pulmonary Artery - diagnostic imaging ; Pulmonary Artery - surgery ; Retrospective Studies ; Science ; Science (multidisciplinary) ; Surgical outcomes ; Treatment Outcome ; Veins & arteries ; Ventricle</subject><ispartof>Scientific reports, 2017-01, Vol.7 (1), p.40042-40042, Article 40042</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Jan 2017</rights><rights>Copyright © 2017, The Author(s) 2017 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-9391b9ae4712f84af2ef19c2b2ef9513996c4d1c1e667fc7817920d8fc23bf4c3</citedby><cites>FETCH-LOGICAL-c3532-9391b9ae4712f84af2ef19c2b2ef9513996c4d1c1e667fc7817920d8fc23bf4c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215389/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215389/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,41099,42168,51554,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28053308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xie, Jiajun</creatorcontrib><creatorcontrib>Juan, Yu-Hsiang</creatorcontrib><creatorcontrib>Wang, Qiushi</creatorcontrib><creatorcontrib>Chen, Jimei</creatorcontrib><creatorcontrib>Zhuang, Jian</creatorcontrib><creatorcontrib>Xie, Zhaofeng</creatorcontrib><creatorcontrib>Liang, Changhong</creatorcontrib><creatorcontrib>Zhu, Yulei</creatorcontrib><creatorcontrib>Yu, Zhuliang</creatorcontrib><creatorcontrib>Li, Jinglei</creatorcontrib><creatorcontrib>Saboo, Sachin S.</creatorcontrib><creatorcontrib>Liu, Hui</creatorcontrib><title>Evaluation of left pulmonary artery sling, associated cardiovascular anomalies, and surgical outcomes using cardiovascular computed tomography angiography</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>We evaluated the prevalence, image appearance, associated cardiovascular anomalies, and surgical outcomes of left pulmonary artery sling (LPAS) using cardiovascular computed tomography angiography (CCTA). A retrospective search of patients from our database between October 2007 and December 2014 identified 52,200 patients with congenital heart diseases (CHD) referred for CCTA, echocardiography, or magnetic resonance imaging. Clinical information, CCTA findings, associated cardiovascular anomalies, and surgical outcomes were analyzed. We showed a hospital-based prevalence of 71 patients with LPAS (0.14%, 71/52,200) among CHD patients. Of these, 47 patients with CCTA examinations were assessed further. Most patients (40/47, 85%) had associated cardiovascular anomalies, of which ventricular septal defects (22/47, 47%), atrial septal defects (20/47, 43%), patent ductus arteriosus (16/47, 34%), persistent left superior vena cava (14/47, 30%), and abnormal branching of the right pulmonary artery (ABRPA) (14/47, 30%) were most commonly identified. In total, 28 patients underwent LPA reanastomosis and/or tracheoplasty in our center, and 5 died. LPAS had a hospital-based prevalence of 0.14% among CHD patients. ABRPA is not uncommon and must be recognized. CCTA is a feasible method for demonstrating LPAS and its associated cardiovascular anomalies for an optimal pre-operative assessment of LPAS.</description><subject>59</subject><subject>631/1647/245</subject><subject>692/699/75/1539</subject><subject>Angiography</subject><subject>Cardiovascular diseases</subject><subject>Child, Preschool</subject><subject>Computed tomography</subject><subject>Computed Tomography Angiography</subject><subject>Congenital Abnormalities - diagnostic imaging</subject><subject>Congenital Abnormalities - epidemiology</subject><subject>Congenital Abnormalities - surgery</subject><subject>Coronary artery disease</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart diseases</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>multidisciplinary</subject><subject>Prevalence</subject><subject>Pulmonary arteries</subject><subject>Pulmonary artery</subject><subject>Pulmonary Artery - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xie, Jiajun</au><au>Juan, Yu-Hsiang</au><au>Wang, Qiushi</au><au>Chen, Jimei</au><au>Zhuang, Jian</au><au>Xie, Zhaofeng</au><au>Liang, Changhong</au><au>Zhu, Yulei</au><au>Yu, Zhuliang</au><au>Li, Jinglei</au><au>Saboo, Sachin S.</au><au>Liu, Hui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of left pulmonary artery sling, associated cardiovascular anomalies, and surgical outcomes using cardiovascular computed tomography angiography</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2017-01-05</date><risdate>2017</risdate><volume>7</volume><issue>1</issue><spage>40042</spage><epage>40042</epage><pages>40042-40042</pages><artnum>40042</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>We evaluated the prevalence, image appearance, associated cardiovascular anomalies, and surgical outcomes of left pulmonary artery sling (LPAS) using cardiovascular computed tomography angiography (CCTA). A retrospective search of patients from our database between October 2007 and December 2014 identified 52,200 patients with congenital heart diseases (CHD) referred for CCTA, echocardiography, or magnetic resonance imaging. Clinical information, CCTA findings, associated cardiovascular anomalies, and surgical outcomes were analyzed. We showed a hospital-based prevalence of 71 patients with LPAS (0.14%, 71/52,200) among CHD patients. Of these, 47 patients with CCTA examinations were assessed further. Most patients (40/47, 85%) had associated cardiovascular anomalies, of which ventricular septal defects (22/47, 47%), atrial septal defects (20/47, 43%), patent ductus arteriosus (16/47, 34%), persistent left superior vena cava (14/47, 30%), and abnormal branching of the right pulmonary artery (ABRPA) (14/47, 30%) were most commonly identified. In total, 28 patients underwent LPA reanastomosis and/or tracheoplasty in our center, and 5 died. LPAS had a hospital-based prevalence of 0.14% among CHD patients. ABRPA is not uncommon and must be recognized. CCTA is a feasible method for demonstrating LPAS and its associated cardiovascular anomalies for an optimal pre-operative assessment of LPAS.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28053308</pmid><doi>10.1038/srep40042</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 59 631/1647/245 692/699/75/1539 Angiography Cardiovascular diseases Child, Preschool Computed tomography Computed Tomography Angiography Congenital Abnormalities - diagnostic imaging Congenital Abnormalities - epidemiology Congenital Abnormalities - surgery Coronary artery disease Echocardiography Female Heart diseases Humanities and Social Sciences Humans Infant Infant, Newborn Magnetic resonance imaging Male Medical imaging multidisciplinary Prevalence Pulmonary arteries Pulmonary artery Pulmonary Artery - abnormalities Pulmonary Artery - diagnostic imaging Pulmonary Artery - surgery Retrospective Studies Science Science (multidisciplinary) Surgical outcomes Treatment Outcome Veins & arteries Ventricle |
title | Evaluation of left pulmonary artery sling, associated cardiovascular anomalies, and surgical outcomes using cardiovascular computed tomography angiography |
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