ANOMALOUS ORIGIN OF RIGHT PULMONARY-ARTER Y FROM THE ASCENDING AORTA

In a patient with respiratory distress and congestive heart failure at the age of one month, echocardiography revealed the anomalous origin of the right pulmonary artery from the ascending aorta. Diagnosis was confirmed by angiocardiography, and corrective surgery was performed. The diagnostic approach by echocardiography, angiocardiography and MR imaging is described. The anomaly leads to complex hemodynamic changes with left-ventricular volume overload and reflectory increase of pulm onary resistance which requires corrective surgery. The procedure of c hoice with re-implantation of the right pulmonary artery is explained.