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Hani K Najm
Neerod K Jha
Ahmed I Rezk
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Right arrow Congenital - acyanotic
Asian Cardiovasc Thorac Ann 2007;15:335-338
© 2007 Asia Publishing EXchange Ltd

CASE STUDIES

Pulmonary Atresia, VSD in Association with Coronary-Pulmonary Artery Fistula

Hani K Najm, MD, Neerod K Jha, MD, Michael Godman, MD1, Mansour Al Mutairi, MD1, Ahmed I Rezk, MD, Tarek Momenah, MD2

Department of Cardiac Surgery
1 Department of Pediatric Cardiology, King Fahad Hospital
2 Department of Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

For reprint information contact: Neerod K Jha, MD Tel: 966 1 237 9259 Fax: 966 1 252 0088 ext. 6700 Email: nk_jha{at}hotmail.com, Department of Cardiac Surgery, Mail Code 1413, King Fahad National Guard Hospital, PO Box 22490, Riyadh, Saudi Arabia.

Congenital coronary-pulmonary artery fistula is rare in patients with pulmonary atresia and ventricular septal defect. The nomenclature, physiological, clinical, and surgical implications of these fistulas are yet to be defined. We report a one-year-old child with pulmonary atresia, ventricular septal defect, and a right coronary-pulmonary artery fistula who also had a diminutive, disconnected left pulmonary artery in addition to aortopulmonary collaterals. The patient underwent corrective surgery. However, the fate of diminutive pulmonary arteries is unknown. The literature was reviewed to explore the clinical or surgical implications of such fistulas for improved understanding and management in the future.






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