title: Iatrogenic left pulmonary artery to left atrium fistula.
abstract: Trans-catheter balloon angioplasty is a well-established treatment modality for pulmonary artery (PA) stenosis in children with congenital heart disease. We report a case of an unusual complication where a fistula developed between the left PA and the left atrium during balloon angioplasty in a patient with history of tetralogy of Fallot. This was successfully treated with placement of a covered stent.
authors.affiliation: Department of Pediatrics, Section of Pediatric Cardiology, Yale University School of Medicine, New Haven, Connecticut.
authors.forename: Riad
authors.initials: R
authors.lastname: Abou Zahr
authors.forename: William E
authors.initials: WE
authors.lastname: Hellenbrand
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Asnes
mesh_terms: D000792:Angiography; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004452:Echocardiography; D006325:Heart Atria / Q000293:injuries*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000293:injuries*; D012086:Reoperation; D015607:Stents; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: balloon angioplasty; complications; fistula - shunts; pediatric catheterization/intervention