Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery | Zendy

Nelson Alphonso | Zendy; P ANAGNOSTOPOULOS | Zendy; A AZAKIE | Zendy; Tom R. Karl | Zendy

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Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery

Author(s) -

Nelson Alphonso,

P ANAGNOSTOPOULOS,

A AZAKIE,

Tom R. Karl

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2006.05.011

Subject(s) - medicine , intracardiac injection , shunt (medical) , cardiology , fistula , cardiac surgery , extracorporeal circulation , pulmonary hypertension , artery , pulmonary artery , surgery

A patient with preoperative pulmonary hypertension and a large left to right intracardiac shunt underwent surgical correction of a complex cardiac anomaly and required extracorporeal life support for unexplained ventricular dysfunction following the procedure. Following recovery, a fistulous connection between the right coronary artery and main pulmonary artery was demonstrated. Implications and management strategies of unsuspected coronary fistula in pediatric heart surgery are discussed.

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