Document Detail

Coronary artery-pulmonary artery fistula in pulmonary atresia with ventricular septal defect.
MedLine Citation:
PMID:  7673088     Owner:  NLM     Status:  MEDLINE    
This paper reports two patients presenting a combination of coronary artery-pulmonary artery fistula and pulmonary atresia with ventricular septal defect. A confluent central pulmonary artery arose from the proximal portion of the left coronary artery in both patients. The fistulous segment between the coronary artery and the central pulmonary artery was large, and no coronary arterial stenosis was found in either patient. Besides this fistulous origin of the pulmonary blood supply, large collateral vessels originated from the descending aorta in both patients. Neither patient has shown findings of myocardial ischemia, at least in consecutive rest and exercise electrocardiograms. Both patients were successfully operated, at the ages of 3 and 8 years, respectively. The clinical and embryological implications of this rare malformation are briefly reviewed.
M Yoshigi; K Momma; Y Imai
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Heart and vessels     Volume:  10     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  1995  
Date Detail:
Created Date:  1995-10-17     Completed Date:  1995-10-17     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  163-6     Citation Subset:  IM    
Department of Pediatric Cardiology, Heart Institute of Japan, Tokyo.
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MeSH Terms
Arteriovenous Fistula / diagnosis*,  surgery
Child, Preschool
Coronary Vessel Anomalies / diagnosis*,  surgery
Heart Septal Defects, Ventricular / diagnosis*,  surgery
Pulmonary Artery / abnormalities*,  radiography,  surgery

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