AUTHOR=Wang Lu , Li Yaru , Yin Xinrui , Han Qiaoyu , Feng Yi , Shi Yi , Liu Gang , Sun Liang TITLE=Anesthesia management in a patient with anomalous origin of left pulmonary artery from the descending aorta: A case report and literature review JOURNAL=Frontiers in Surgery VOLUME=10 YEAR=2023 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1140212 DOI=10.3389/fsurg.2023.1140212 ISSN=2296-875X ABSTRACT=

Anomalous origin of the left pulmonary artery from the descending aorta is an extremely rare congenital malformation. There were merely four case reports of such malformation in previous literature, and all four cases underwent surgical repair in their first year of life. Actually, long-term pulmonary arterial hypertension and irreversible pulmonary vascular changes make anesthesia management quite a challenge, while anesthesia for managing these cases has not been discussed before. We present a 15-year-old boy undergoing corrective surgery and try to provide some tips on anesthesia management for this surgical procedure. Through optimal perioperative management, successful outcomes can be achieved for this malformation.