title: Right pulmonary artery to left atrial fistula in a neonate: case report and review of the literature.
abstract: A communication between the right pulmonary artery (RPA) and the left atrium is a rare congenital anomaly that presents with cyanosis and heart failure. We describe the surgical repair of an RPA to left atrial fistula using cardiopulmonary bypass in a neonate. Advanced imaging (computed tomography scan) guided the surgical approach. Although previous reports have associated a patent ductus arteriosus with high neonatal mortality, in our case, the ductus arteriosus was actually important for maintaining enough total pulmonary blood flow.
authors.affiliation: Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Mongé
authors.forename: Hyde M
authors.initials: HM
authors.lastname: Russell
authors.forename: Andrada R
authors.initials: AR
authors.lastname: Popescu
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Robinson
mesh_terms: D002315:Cardiopulmonary Bypass; D005402:Fistula / Q000601:surgery*; D006325:Heart Atria / Q000002:abnormalities*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011652:Pulmonary Circulation; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000601:surgery*
keywords: atrium; fistula; neonate; pulmonary arteries