Right Pulmonary Artery to Left Atrial Fistula in a Neonate: Case Report and Review of the Literature. (April 2014)

• Record Type: Journal Article
• Authors: Mongé, Michael C.; Russell, Hyde M.; Popescu, Andrada R.; Robinson, Joshua D.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 5:Number 2(2014:Apr.)
• Page Start: 306
• Page End: 310
• Publication Date: 2014-04
• Subjects: fistula -- pulmonary arteries -- atrium -- neonate; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135113508562
• Languages: English
• ISSNs: 2150-1351

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.