A congenital fistula between the descending aorta and the right pulmonary vein in a neonate presenting with heart failure.
We report a large congenital fistula connecting the descending thoracic aorta to the right upper pulmonary vein in a newborn baby presenting on the seventh day of life with cardiac failure and a continuous murmur heard posteriorly. The fistula was detected echocardiographically, and shown at cardiac catheterisation not to be suitable for percutaneous occlusion. The anatomy of the fistula was confirmed at surgery, when it was ligated successfully.
Department of Paediatric Cardiology, Glenfield Hospital, Leicester, United Kingdom.
Suhair O
SO
Shebani
Mohammad D
MD
Khan
Magdi A
MA
Tofeig
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging; D004452:Echocardiography; D006333:Heart Failure / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging