We report a 13-month-old male child with anomalous origin of the right pulm
onary artery from the ascending aorta and a double outlet right ventricle.
Aortic wall was used for elongation of the pulmonary artery and side-to-end
connection to the pulmonary trunk. Special emphasis is made on this partic
ular operative technique for strictly laterally originating right pulmonary
artery that requires no prosthetic material, avoids extreme stretching, an
d may enable normal growth potential. (C) 2000 by The Society of Thoracic S
urgeons.