title: Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug.
abstract: A direct right pulmonary artery to left atrial fistula is a rare congenital condition in which patients usually present with isolated cyanosis in the absence of abnormal cardiovascular findings. We report the percutaneous closure of such a defect in a young woman who presented with severe cyanosis. This was achieved without making a conventional venovenous loop and was performed using an Amplatzer vascular plug. We believe, in patients with a suitable anatomy, closure with vascular plug without a venovenous loop should be the method of choice for treating this malady in view of the technical ease.
authors.affiliation: Christian Medical College, Vellore, Vellore, Tamilnadu, India.
authors.forename: Vipin
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Cardiology, Christian Medical College, Vellore, Tamilnadu, India.
authors.forename: Mithun Jacob
authors.initials: MJ
authors.lastname: Varghese
authors.affiliation: Christian Medical College, Vellore, Vellore, Tamilnadu, India.
authors.forename: Oommen K
authors.initials: OK
authors.lastname: George
mesh_terms: D000328:Adult; D005260:Female; D006325:Heart Atria; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D055989:Septal Occluder Device; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*