Transcatheter Closure of a Right Pulmonary Artery to Left Atrium Fistula Using a Ventricular Septal Defect Occluder

被引：0
作者：
Zhu, Diqi [1 ]
Gu, Xiaohong [2 ]
Shen, Jie [1 ]
Li, Fen [1 ]
机构：
[1] Shanghai Jiao Tong Univ, Sch Med, Dept Pediat Cardiol, Shanghai Childrens Med Ctr, Shanghai 200127, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Med, Shanghai Childrens Med Ctr, Dept Radiol, Shanghai 200127, Peoples R China
来源：
CONGENITAL HEART DISEASE | 2021年 / 16卷 / 02期
基金：
美国国家科学基金会;
关键词：
Transcatheter closure; fistula; ventricular septal defect occlude; central cyanosis; ARTERIOVENOUS-FISTULA; COMMUNICATION;
D O I：
10.32604/CHD.2021.014360
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: Communication between the right pulmonary artery (RPA) and left atrium (LA) is a rare cause of central cyanosis in pediatric patients. Case presentation: We describe a 3-year-old female patient with an oxygen saturation of 70% at admission. The echocardiogram indicated an abnormal color flow Doppler in the LA and she underwent standard cardiac catheterization. The angiography of pulmonary artery revealed a 7.4 mm x 7.6 mm fistula between the RPA and LA and achieved successful closure using ventricular septal defect occlusion. Conclusion: The fistula between pulmonary artery and left atrium is an extremely rare but treatable congenital defect. It should be considered in differential diagnosis of cyanosis in children.
引用
收藏
页码：147 / 150
页数：4
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