UNILATERAL ABSENCE OF PULMONARY-ARTERY AND VENTRICULAR SEPTAL-DEFECT IN AN INFANT

A 2-month-old boy was diagnosed as having a rare combination of absenc e of left pulmonary artery and ventricular septal defect. He underwent intracardiac repair at the age of 8 months. Reconstruction of the lef t pulmonary artery was impossible because it could not be visualized t hrough a median sternotomy. Although his early postoperative course wa s uneventful, he needed ipsilateral pneumonectomy 3 months later becau se of unremitting hemoptysis. Hilar left pulmonary artery, which used to exist, was not found even by histologic examination. (Ann Thorac Su rg 1998;66:251-2) (C) 1998 by The Society of Thoracic Surgeons.