Congenital right pulmonary artery-to-left atrial fistula.
A 23-year-old man presented with cyanosis since birth. Precordial echocardiography failed to detect any structural heart abnormality except for enlarged left atrium. Pulmonary angiography revealed a type I right pulmonary artery-to-left atrial fistula. Simple ligation of the fistula without cardiopulmonary bypass was performed successfully, and the cyanosis disappeared postoperatively.
Liu
Ligang
L
Department of Cardiothoracic Surgery, Tong Ji Hospital, Hua Zhong University of Science and Technology, Wu Han, P.R. China. liuligang@hotmail.com
Wei
Xiang
X
Pan
Tiecheng
T
D002315:Cardiopulmonary Bypass; D006325:Heart Atria / Q000002:abnormalities; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult