Document Detail

Surgical treatment of a fistula between the right pulmonary artery and the left atrium: presentation of two cases and review of literature.
MedLine Citation:
PMID:  9237587     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A direct communication between the pulmonary artery and the left atrium is a rare anomaly. On the basis of two cases of our own and a literature review of 49 cases, we focus on clinical presentation, anatomy, diagnosis, and the role of surgery. METHODS: Two cases of a fistula between the right pulmonary artery and the left atrium are described in a girl of 4 years and a boy of 15 years. Both presented with unexplained cyanosis. Diagnosis was made on echocardiography and angiography. The fistula was ligated using extracorporeal circulation in the first case and not in the second case. RESULTS: The surgical results were successful with resolution of the cyanosis. CONCLUSIONS: In newborns, urgent surgery may be necessary. In other patients, early elective surgical correction should be performed to prevent complications, especially systemic and cerebral emboli, cerebral abscesses, and rupture of aneurysmal fistulas. Complete cure can be achieved by ligation and possible division or by intracardiac repair.
C J Zeebregts; A Nijveld; J Lam; A M van Oort; L K Lacquet
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  11     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-09-25     Completed Date:  1997-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  1056-61     Citation Subset:  IM    
Department of Thoracic and Cardiac Surgery, Children's Heart Centre, University Hospital Nijmegen St. Radboud, The Netherlands.
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MeSH Terms
Child, Preschool
Coronary Angiography
Cyanosis / etiology
Fistula / surgery*
Heart Atria / abnormalities*
Heart Defects, Congenital / diagnosis,  surgery*
Pulmonary Artery / abnormalities*

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