Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-25T09:15:02.807Z Has data issue: false hasContentIssue false
  • English
  • Français

Fistula between the right pulmonary artery and the left atrium—an unusual cause of cyanotic heart disease

Published online by Cambridge University Press:  19 August 2008

Kjell Saatvedt ,
Gunnar Stake  and
Harald Lindberg
Kjell Saatvedt*
Affiliation:
Rikshospitalet, The National Hospital, University of Oslo, Oslo
Gunnar Stake
Affiliation:
From the Surgical Department A, Cardiothoracic Unit, Department of Pediatric Radiology, Oslo
Harald Lindberg
Affiliation:
Rikshospitalet, The National Hospital, University of Oslo, Oslo
*
Dr. Kjell Saatvedt, Surgical Department A, Cardiothoracic Unit, Rikshospitalet, 0027 Oslo, Norway. Tel. 228670 10; Fax. 228672 63.
Get access Rights & Permissions [Opens in a new window]

Abstract

A fistula from the pulmonary artery to the left atrium is a very rare congenital anomaly. The communication, almost exclusively arising from the right pulmonary artery, may give rise to a variety of symptoms with cyanosis as the predominant sign. To our knowledge only seven neonates have been reported with this anomaly, and five of them died postoperatively. We present another two neonates with such a fistula which was closed by simple ligation using a transsternal approach and cardiopulmonary bypass. Both patients had an uneventful postoperative course and are alive and well at the age of two and three years, respectively.

Keywords

Congenital heart diseasearteriovenous fistulacardiopulmonary bypass
Type
Brief Reports
Information
Cardiology in the Young , Volume 5 , Issue 1 , January 1995 , pp. 85 - 87
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abe, T, Kuribayashi, R, Sato, M, Nieda, S. Direct communication of the right pulmonary artery with the right atrium. A case report and a review of the literature. J Thorac Cardiovasc Surg 1972; 64: 38–44.CrossRefGoogle Scholar
Jiménez, M, Fournier, A, Choussat, A. Pulmonary artery to the left atrium fistula as an unusual cause of cyanosis in the newborn. Pediatr Cardiol 1989; 10: 216–220.CrossRefGoogle Scholar
Karnik, MK, Nilsson, U, Vijayaraghavan, G, Hashmi, J, Schuhaiber, H. Direct communication between the left pulmonary artery and the left atrium. Chest 1989; 96: 937–939.CrossRefGoogle ScholarPubMed
Ohara, H, Ito, K, Kohguchi, N, Ohkawa, Y, Akasaka, T, Takarada, M, Aoki, H, Ogata, M, Nishibitake, M, Fukatsu, O, Matsushima, K, Sasaki, Y. Direct communication between the right pulmonary artery and the left atrium: a case report and review of the literature. J Thorac Cardiovasc Surg 1979; 77: 742–747.CrossRefGoogle ScholarPubMed
Friedlich, A, Bing, EJ, Blount, SG. Physiological studies in congenital heart disease—IX—circulatory dynamics in the anomalies of venous return to the heart including pulmonary arteriovenous fistula. Bull John Hopkins Hosp 1950; 86: 20–57.Google Scholar
Kroeker, EJ, Adams, HD, Leon, AS, Pouget, JM. Congenital communication between a pulmonary artery and left atrium: physiologic observations and review of the literature. Am J Med 1963; 34: 721–725.CrossRefGoogle ScholarPubMed
Lucas, RV, Lung, GW, Edwards, JE. Direct communication of the pulmonary artery with the left atrium. An unusual variant of pulmonary arteriovenous fistula. Circulation 1961; 24: 1409– 1414.Google Scholar
Lekuona, I, Cabrera, A, Inguanzo, R, Cid, C, Agosti, J. Direct communication between the right pulmonary artery and the left atrium. Thorax 1986; 78–79.CrossRefGoogle ScholarPubMed
Nagai, I, Kawashima, Y, Fujita, S, Miyamoto, T, Nairo, Y, Manabe, H. Direct communication of the pulmonary artery to the left atrium. J Jpn Assoc Thorac Surg 1972; 20: 683–689.Google Scholar
Arendrup, H. Direct communication between the pulmonary artery and the left atrium. Scand J Cardiovasc Surg 1982; 16: 157– 160.Google Scholar