Endovascular stent implantation in a coronary artery to pulmonary artery fistula in a patient with pulmonary atresia with ventricular septal defect and severe cyanosis.
A 31-year-old male with pulmonary atresia, ventricular septal defect presented with exercise intolerance and severe cyanosis. A restrictive coronary-pulmonary artery fistula was identified as the main source of pulmonary blood flow. We report transcatheter stent implantation in the fistula to augment pulmonary flow as a palliative management option in the adult patient with complex congenital heart disease.
Pettersen
M D
MD
Division of Pediatric Cardiology, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
Ammash
N M
NM
Hagler
D J
DJ
Rihal
C S
CS
Cabalka
A K
AK
D000328:Adult; D001158:Arteries / Q000601:surgery*; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D003490:Cyanosis / Q000150:complications* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000098:blood supply; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000150:complications* / Q000601:surgery*; D012720:Severity of Illness Index; D015607:Stents; D014656:Vascular Surgical Procedures / Q000295:instrumentation*