Unilateral absence of pulmonary artery analysis based on echocardiographic feature

The unilateral absence of pulmonary artery (UAPA) is a rare congenital cardiovascular malformation, which is asymptomatic and easy to be ignored in early stage. A large number of complications may occur in the later stage. Therefore, early diagnosis and treatment is of great significance. The im...

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Main Authors: Mingjun Tian, Minjuan Zheng
Format: Article
Language:English
Published: IMR Press 2021-06-01
Series:Reviews in Cardiovascular Medicine
Subjects:
Online Access:https://rcm.imrpress.com/fileup/2153-8174/PDF/1625013568543-1973312359.pdf
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author Mingjun Tian
Minjuan Zheng
author_facet Mingjun Tian
Minjuan Zheng
author_sort Mingjun Tian
collection DOAJ
description The unilateral absence of pulmonary artery (UAPA) is a rare congenital cardiovascular malformation, which is asymptomatic and easy to be ignored in early stage. A large number of complications may occur in the later stage. Therefore, early diagnosis and treatment is of great significance. The imaging data of 49 patients with UAPA discovered and confirmed clinically by the echocardiography in our hospital are analyzed. The results show that left pulmonary artery absence is more common (55%) and most of them are associated with other cardiovascular malformations (92%). Atrial septal defect and patent foramen ovale were most common in 56%. In which the absence of isolated pulmonary artery was 8% (4/49), and the absence of right pulmonary artery was 75% (3/4). Especially in the patients with tetralogy of Fallot, 77% (5/9) of them miss the diagnosis of UAPA. This suggests that doctors and sonographers should pay attention to the development of pulmonary artery bifurcation and left and right branches in multi-section, and strengthen the scanning of short axis section of high large artery.
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spelling doaj.art-37fd750458884d1fbf9184ce747d60212022-12-21T16:43:14ZengIMR PressReviews in Cardiovascular Medicine2153-81742021-06-0122248348810.31083/j.rcm22020551625013568543-1973312359Unilateral absence of pulmonary artery analysis based on echocardiographic featureMingjun Tian0Minjuan Zheng1Department of Ultrasound, Xijing hospital, Fourth Military Medical University, 710032 Xi’an, Shaanxi, ChinaDepartment of Ultrasound, Xijing hospital, Fourth Military Medical University, 710032 Xi’an, Shaanxi, ChinaThe unilateral absence of pulmonary artery (UAPA) is a rare congenital cardiovascular malformation, which is asymptomatic and easy to be ignored in early stage. A large number of complications may occur in the later stage. Therefore, early diagnosis and treatment is of great significance. The imaging data of 49 patients with UAPA discovered and confirmed clinically by the echocardiography in our hospital are analyzed. The results show that left pulmonary artery absence is more common (55%) and most of them are associated with other cardiovascular malformations (92%). Atrial septal defect and patent foramen ovale were most common in 56%. In which the absence of isolated pulmonary artery was 8% (4/49), and the absence of right pulmonary artery was 75% (3/4). Especially in the patients with tetralogy of Fallot, 77% (5/9) of them miss the diagnosis of UAPA. This suggests that doctors and sonographers should pay attention to the development of pulmonary artery bifurcation and left and right branches in multi-section, and strengthen the scanning of short axis section of high large artery.https://rcm.imrpress.com/fileup/2153-8174/PDF/1625013568543-1973312359.pdfunilateral absence of pulmonary arteryechocardiographyimage featurepulmonary hypertensionvascular malformation
spellingShingle Mingjun Tian
Minjuan Zheng
Unilateral absence of pulmonary artery analysis based on echocardiographic feature
Reviews in Cardiovascular Medicine
unilateral absence of pulmonary artery
echocardiography
image feature
pulmonary hypertension
vascular malformation
title Unilateral absence of pulmonary artery analysis based on echocardiographic feature
title_full Unilateral absence of pulmonary artery analysis based on echocardiographic feature
title_fullStr Unilateral absence of pulmonary artery analysis based on echocardiographic feature
title_full_unstemmed Unilateral absence of pulmonary artery analysis based on echocardiographic feature
title_short Unilateral absence of pulmonary artery analysis based on echocardiographic feature
title_sort unilateral absence of pulmonary artery analysis based on echocardiographic feature
topic unilateral absence of pulmonary artery
echocardiography
image feature
pulmonary hypertension
vascular malformation
url https://rcm.imrpress.com/fileup/2153-8174/PDF/1625013568543-1973312359.pdf
work_keys_str_mv AT mingjuntian unilateralabsenceofpulmonaryarteryanalysisbasedonechocardiographicfeature
AT minjuanzheng unilateralabsenceofpulmonaryarteryanalysisbasedonechocardiographicfeature