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At surgery, a fistula with an external diameter of 1 mm was identified between the anterior interventricular artery and the pulmonary trunk, with a shunt toward the pulmonary artery tree. The fistula was disconnected with suture. The anomalous origin of the coronary artery was not detected. As a result, the systolic murmur disappeared and the electrocardiogram showed a normal ventricular repolarization. The postoperative arterial hypertension was treated with sodium nitroprusside and subsequently, with captopril.

Caso 3/2010 - Lactente de dois meses de idade, do sexo masculino, com fístula da artéria coronária interventricular anterior e o tronco pulmonar