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Isolated Major Aortopulmonary Collateral as the Sole Pulmonary Blood Supply to an Entire Lung Segment.

ABSTRACT: Congenital systemic-to-pulmonary collateral arteries or major aortopulmonary collaterals are associated with cyanotic congenital heart disease with decreased pulmonary blood flow. Though it is usually associated with congenital heart diseases, there is an increased incidence of isolated acquired aortopulmonary collaterals in premature infants with chronic lung disease. Interestingly, isolated congenital aortopulmonary collaterals can occur without any lung disease, which may cause congestive heart failure and require closure. We present a neonate with an echocardiogram that showed only left-sided heart dilation. Further workup with a CT angiogram demonstrated an anomalous systemic artery from the descending thoracic aorta supplying the left lower lobe. He eventually developed heart failure symptoms and was taken to the catheterization laboratory for closure of the collateral. However, with the collateral being the only source of blood flow to the entire left lower lobe, he required surgical unifocalization. Isolated aortopulmonary collaterals without any other congenital heart disease or lung disease are rare. Our patient is the first reported case to have an isolated aortopulmonary collateral being the sole pulmonary blood supply to an entire lung segment. Due to its rarity, there is still much to learn about the origin and development of these collaterals that possibly developed prenatally.

SUBMITTER: Kim HS

PROVIDER: S-EPMC5529621 | biostudies-other | 2017

REPOSITORIES: biostudies-other

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Project description:Background and aimsLight interception is closely related to canopy architecture. Few studies based on multi-view photography have been conducted in a field environment, particularly studies that link 3-D plant architecture with a radiation model to quantify the dynamic canopy light interception. In this study, we combined realistic 3-D plant architecture with a radiation model to quantify and evaluate the effect of differences in planting patterns and row orientations on canopy light interception.MethodsThe 3-D architectures of maize and soybean plants were reconstructed for sole crops and intercrops based on multi-view images obtained at five growth dates in the field. We evaluated the accuracy of the calculated leaf length, maximum leaf width, plant height and leaf area according to the measured data. The light distribution within the 3-D plant canopy was calculated with a 3-D radiation model. Finally, we evaluated canopy light interception in different row orientations.Key resultsThere was good agreement between the measured and calculated phenotypic traits, with an R2 >0.97. The light distribution was more uniform for intercropped maize and more concentrated for sole maize. At the maize silking stage, 85 % of radiation was intercepted by approx. 55 % of the upper canopy region for maize and by approx. 33 % of the upper canopy region for soybean. There was no significant difference in daily light interception between the different row orientations for the entire intercropping and sole systems. However, for intercropped maize, near east-west orientations showed approx. 19 % higher daily light interception than near south-north orientations. For intercropped soybean, daily light interception showed the opposite trend. It was approx. 49 % higher for near south-north orientations than for near east-west orientations.ConclusionsThe accurate reconstruction of 3-D plants grown in the field based on multi-view images provides the possibility for high-throughput 3-D phenotyping in the field and allows a better understanding of the relationship between canopy architecture and the light environment.

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Isolated Major Aortopulmonary Collateral as the Sole Pulmonary Blood Supply to an Entire Lung Segment.

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