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Communications to the Editor |

Agenesis of Pulmonary Artery FREE TO VIEW

George Mixides, MD; Imran Niami, MD, FCCP
Author and Funding Information

Baylor College of Medicine Houston, TX

Correspondence to: George Mixides, MD, FCCP, 1 Iona Nicolaou St, Aglangia, Nicosia 2108, Cyprus; e-mail: gmix@msn.com



Chest. 2003;123(3):966. doi:10.1378/chest.123.3.966
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Published online

To the Editor:

We enjoyed reading the report by Dr. Kochiadakis and coworkers (June 2002).1We would like to point out, however, that we have reported on a similar case of a 51-year-old woman with pulmonary hypertension and agenesis of the right pulmonary artery.2 Her pulmonary artery pressure was 68/24 mm Hg, as measured by right heart catheterization. The diagnosis of agenesis was confirmed by conventional pulmonary angiography as well as by magnetic resonance angiography, which also showed a common origin for both the common carotid arteries and an aberrant right subclavian artery, originating in the aortic arch distal and proceeding to the left subclavian artery. Left heart catheterization revealed communicating vessels between the left circumflex coronary artery and the right pulmonary circulation (Fig 1 ). Similar to the report by Kochiadakis et al,,1 our patient did not have any evidence of myocardial ischemia due to these abnormal vessels, and surgical intervention was not undertaken.

Although this report is not cited in MEDLINE, it was submitted and published in the case report section of the Chest 2000 International Meeting.

Figure Jump LinkFigure 1. Left, A: left anterior oblique view of the left coronary artery showing aberrant vessels originating from the left circumflex (arrows). Right, B: these aberrant vessels are shown feeding the circulation of the right lung.Grahic Jump Location

References

Kochiadakis, G, Chrysostomakis, S, Igoumenidis, N, et al (2002) Anomalous collateral from the coronary Artery to the affected lung in a case of congenital absence of the left pulmonary artery: effect on coronary circulation.Chest121,2063-2066. [PubMed] [CrossRef]
 
Mixides, G, Nizami, I Agenesis of the right pulmonary artery in an adult with pulmonary hypertension. Chest. 2000;;118 (suppl) ,.:292S
 

Figures

Figure Jump LinkFigure 1. Left, A: left anterior oblique view of the left coronary artery showing aberrant vessels originating from the left circumflex (arrows). Right, B: these aberrant vessels are shown feeding the circulation of the right lung.Grahic Jump Location

Tables

References

Kochiadakis, G, Chrysostomakis, S, Igoumenidis, N, et al (2002) Anomalous collateral from the coronary Artery to the affected lung in a case of congenital absence of the left pulmonary artery: effect on coronary circulation.Chest121,2063-2066. [PubMed] [CrossRef]
 
Mixides, G, Nizami, I Agenesis of the right pulmonary artery in an adult with pulmonary hypertension. Chest. 2000;;118 (suppl) ,.:292S
 
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