Right pulmonary artery anterior translocation for Berry syndrome: Four cases report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SHI Xucong ¹ , WENG Jianbin ² , YU Jin ³ , MA Xiaohui ⁴ , SHI Zhuo ¹ , YU Jiangen ¹ ,  FAN Xiangming ¹

1. Department of Cardiac Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, P. R. China;
2. Department of Neurosurgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, P. R. China;
3. Department of Ultrasound Diagnosis, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, P. R. China;
4. Department of Radiology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, P. R. China;

Corresponding author：

FAN Xiangming, Email: fanxiangming@126.com

Keywords：

Berry syndrome; primary correction; right pulmonary artery anterior translocation; pulmonary artery stenosis; case report

DOI：

10.7507/1007-4848.202312014

Video：

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All four patients were female, with an average age of 28.8 days and an average weight of 3.64 kg. Only case 4 was born prematurely at 34 W⁺⁵ and was treated conservatively until 71 days to complete operation. All the others completed primary corrective surgery in the neonatal period, and all survived after operation and were followed up to now. Two different surgical techniques were used to repair the aortic-pulmonary window and the aortic origin of the right pulmonary artery, including 1 case using the aortic internal baffle technique and another 3 cases underwent replantation of the right pulmonary artery (1 case was reconstructed in situ, and the other 2 cases were reconstructed by moving the right pulmonary artery in the anterior of aorta). Case 2 who used aortic internal baffle technique underwent two reoperation because of right pulmonary artery stenosis. While, right pulmonary artery of cases 3 and 4 developed well after being reconstructed the right pulmonary artery anterior translocation. One-stage surgical repair of Berry syndrome is a high-risk and complicated operation, but it is safe in an experienced heart center.

1.	Berry TE, Bharati S, Muster AJ, et al. Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: A newly recognized syndrome. Am J Cardiol, 1982, 49(1): 108-116.
2.	Haranal M, Srimurugan B, Dinh DM, et al. Berry syndrome-a rare congenital cardiac anomaly. Indian J Thorac Cardiovasc Surg, 2021, 37(5): 526-532.
3.	Bi WJ, Xiao YJ, Liu YJ, et al. Berry syndrome: A case report and literature review. BMC Cardiovasc Disord, 2021, 21(1): 15.
4.	Hu R, Zhang W, Liu X, et al. Current outcomes of one-stage surgical correction for Berry syndrome. J Thorac Cardiovasc Surg, 2017, 153(5): 1139-1147.
5.	Habibie YA, Busro PW, Roebiono PS, et al. Berry syndrome; a successful one-stage repair in neonate periods, evaluation result after 9 years, a case report. Ann Med Surg (Lond), 2021 Mar 4: 64: 102200.
6.	Dönmez YN, Aykan HH, Peker RO, et al. Association of interrupted aortic arch, aortopulmonary window with anomalous origin of the right pulmonary artery from the aorta, one-stage repair and postoperative outcomes: A case report. Anatol J Cardiol, 2021, 25(6): 447-450.
7.	Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J, 1959, 58: 407-413.
8.	Mori K, Ando M, Takao A, et al. Distal type of aortopulmonary window. Report of 4 cases. Br Heart J, 1978, 40(6): 681-689.
9.	Dias J, Marinho J, Rodrigues D, et al. Berry syndrome: A rare cause of cardiac failure in the early neonatal period. BMJ Case Rep, 2022, 15(11): e252744.
10.	周睿, 计晓娟, 唐毅, 等. 儿童Berry综合征的影像学特征. 中国医学影像学杂志, 2021, 29(4): 335-338.
11.	Ghelani SJ, Quinonez LG, Rathod RH. Prenatal diagnosis and management of Berry syndrome, a rare conotruncal anatomy. Circulation, 2015, 132(16): 1593-1594.
12.	Byeman CJ, Young K, Ashwath R. Two-staged surgical repair of Berry syndrome type 2B. Interdiscip Cardiovasc Thorac Surg, 2023, 36(1): ivac284.
13.	胡仁杰, 张文, 刘鑫荣, 等. 19例Berry综合征的外科治疗. 中华胸心血管外科杂志, 2018, 34(12): 713-716.
14.	Duyen MD, Haranal MY, Dillon J, et al. A rare complication of myocardial ischaemia following single-stage repair in a case of Berry syndrome. Interact Cardiovasc Thorac Surg, 2020, 31(4): 576-577.
15.	Bin-Moallim M, Hamadah HK, Alhabshan F, et al. Aortopulmonary window: Types, associated cardiovascular anomalies, and surgical outcome. Retrospective analysis of a single center experience. J Saudi Heart Assoc, 2020, 32(2): 127-133.
16.	Cho S, Kim WH, Choi ES, et al. Surgical results of anomalous origin of one pulmonary artery branch from the ascending aorta. Pediatr Cardiol, 2015, 36(7): 1532-1538.
17.	Chang YH, Sung SC, Kim H, et al. Anterior translocation of the right pulmonary artery for relief of airway compression in the repair of distal aortopulmonary window and interrupted aortic arch. Ann Thorac Surg, 2012, 93(6): e159-e161.

1. Berry TE, Bharati S, Muster AJ, et al. Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: A newly recognized syndrome. Am J Cardiol, 1982, 49(1): 108-116.
2. Haranal M, Srimurugan B, Dinh DM, et al. Berry syndrome-a rare congenital cardiac anomaly. Indian J Thorac Cardiovasc Surg, 2021, 37(5): 526-532.
3. Bi WJ, Xiao YJ, Liu YJ, et al. Berry syndrome: A case report and literature review. BMC Cardiovasc Disord, 2021, 21(1): 15.
4. Hu R, Zhang W, Liu X, et al. Current outcomes of one-stage surgical correction for Berry syndrome. J Thorac Cardiovasc Surg, 2017, 153(5): 1139-1147.
5. Habibie YA, Busro PW, Roebiono PS, et al. Berry syndrome; a successful one-stage repair in neonate periods, evaluation result after 9 years, a case report. Ann Med Surg (Lond), 2021 Mar 4: 64: 102200.
6. Dönmez YN, Aykan HH, Peker RO, et al. Association of interrupted aortic arch, aortopulmonary window with anomalous origin of the right pulmonary artery from the aorta, one-stage repair and postoperative outcomes: A case report. Anatol J Cardiol, 2021, 25(6): 447-450.
7. Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J, 1959, 58: 407-413.
8. Mori K, Ando M, Takao A, et al. Distal type of aortopulmonary window. Report of 4 cases. Br Heart J, 1978, 40(6): 681-689.
9. Dias J, Marinho J, Rodrigues D, et al. Berry syndrome: A rare cause of cardiac failure in the early neonatal period. BMJ Case Rep, 2022, 15(11): e252744.
10. 周睿, 计晓娟, 唐毅, 等. 儿童Berry综合征的影像学特征. 中国医学影像学杂志, 2021, 29(4): 335-338.
11. Ghelani SJ, Quinonez LG, Rathod RH. Prenatal diagnosis and management of Berry syndrome, a rare conotruncal anatomy. Circulation, 2015, 132(16): 1593-1594.
12. Byeman CJ, Young K, Ashwath R. Two-staged surgical repair of Berry syndrome type 2B. Interdiscip Cardiovasc Thorac Surg, 2023, 36(1): ivac284.
13. 胡仁杰, 张文, 刘鑫荣, 等. 19例Berry综合征的外科治疗. 中华胸心血管外科杂志, 2018, 34(12): 713-716.
14. Duyen MD, Haranal MY, Dillon J, et al. A rare complication of myocardial ischaemia following single-stage repair in a case of Berry syndrome. Interact Cardiovasc Thorac Surg, 2020, 31(4): 576-577.
15. Bin-Moallim M, Hamadah HK, Alhabshan F, et al. Aortopulmonary window: Types, associated cardiovascular anomalies, and surgical outcome. Retrospective analysis of a single center experience. J Saudi Heart Assoc, 2020, 32(2): 127-133.
16. Cho S, Kim WH, Choi ES, et al. Surgical results of anomalous origin of one pulmonary artery branch from the ascending aorta. Pediatr Cardiol, 2015, 36(7): 1532-1538.
17. Chang YH, Sung SC, Kim H, et al. Anterior translocation of the right pulmonary artery for relief of airway compression in the repair of distal aortopulmonary window and interrupted aortic arch. Ann Thorac Surg, 2012, 93(6): e159-e161.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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