Crossed Pulmonary Arteries: A Literature Review

Crossed pulmonary artery (CPA) is a rare congenital malformation with only about 100 cases reported worldwide. It is often an incidental finding on cardiac imaging with symptoms rarely attributed to this anomaly. Sometimes, it can result in difficulties during catheterization and surgical procedures...

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Main Authors: Abhinav Agarwal, Vimalarani Arulselvam, Suad Rashid Al Amer, Neale Nicola Kalis
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=3;spage=207;epage=210;aulast=Agarwal
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author Abhinav Agarwal
Vimalarani Arulselvam
Suad Rashid Al Amer
Neale Nicola Kalis
author_facet Abhinav Agarwal
Vimalarani Arulselvam
Suad Rashid Al Amer
Neale Nicola Kalis
author_sort Abhinav Agarwal
collection DOAJ
description Crossed pulmonary artery (CPA) is a rare congenital malformation with only about 100 cases reported worldwide. It is often an incidental finding on cardiac imaging with symptoms rarely attributed to this anomaly. Sometimes, it can result in difficulties during catheterization and surgical procedures. Thus, it is necessary to diagnose CPA preoperatively to reduce misadventures. CPA is primarily diagnosed by computerized tomography angiography (CT angio) and missing it during echocardiography is common, even when an accurate diagnosis is possible by echocardiography alone. Echocardiography can also differentiate it from other causes of nonvisualization of pulmonary artery bifurcation. Recent studies suggest that CPA is not as rare as previously described. With increased utilization of CT angio, more cases of CPA are being picked up, which were not noted earlier on echocardiography. Missing CPA on echocardiography is attributed mainly to the lack of awareness regarding this condition among echocardiographers. Raising awareness can avoid missed diagnoses and aid in planning the interventional and surgical procedures.
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spelling doaj.art-34f1abc2b6404b39a5be5264bccb10732022-12-22T04:04:24ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712021-01-015320721010.4103/jiae.jiae_2_21Crossed Pulmonary Arteries: A Literature ReviewAbhinav AgarwalVimalarani ArulselvamSuad Rashid Al AmerNeale Nicola KalisCrossed pulmonary artery (CPA) is a rare congenital malformation with only about 100 cases reported worldwide. It is often an incidental finding on cardiac imaging with symptoms rarely attributed to this anomaly. Sometimes, it can result in difficulties during catheterization and surgical procedures. Thus, it is necessary to diagnose CPA preoperatively to reduce misadventures. CPA is primarily diagnosed by computerized tomography angiography (CT angio) and missing it during echocardiography is common, even when an accurate diagnosis is possible by echocardiography alone. Echocardiography can also differentiate it from other causes of nonvisualization of pulmonary artery bifurcation. Recent studies suggest that CPA is not as rare as previously described. With increased utilization of CT angio, more cases of CPA are being picked up, which were not noted earlier on echocardiography. Missing CPA on echocardiography is attributed mainly to the lack of awareness regarding this condition among echocardiographers. Raising awareness can avoid missed diagnoses and aid in planning the interventional and surgical procedures.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=3;spage=207;epage=210;aulast=Agarwalcriss-cross pulmonary arteriescrossed pulmonary arterymalposition of the origins of pulmonary arteries
spellingShingle Abhinav Agarwal
Vimalarani Arulselvam
Suad Rashid Al Amer
Neale Nicola Kalis
Crossed Pulmonary Arteries: A Literature Review
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
criss-cross pulmonary arteries
crossed pulmonary artery
malposition of the origins of pulmonary arteries
title Crossed Pulmonary Arteries: A Literature Review
title_full Crossed Pulmonary Arteries: A Literature Review
title_fullStr Crossed Pulmonary Arteries: A Literature Review
title_full_unstemmed Crossed Pulmonary Arteries: A Literature Review
title_short Crossed Pulmonary Arteries: A Literature Review
title_sort crossed pulmonary arteries a literature review
topic criss-cross pulmonary arteries
crossed pulmonary artery
malposition of the origins of pulmonary arteries
url http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=3;spage=207;epage=210;aulast=Agarwal
work_keys_str_mv AT abhinavagarwal crossedpulmonaryarteriesaliteraturereview
AT vimalaraniarulselvam crossedpulmonaryarteriesaliteraturereview
AT suadrashidalamer crossedpulmonaryarteriesaliteraturereview
AT nealenicolakalis crossedpulmonaryarteriesaliteraturereview