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Coronary‐pulmonary arterial fistula in a neonate with pulmonary atresia—ventricular septal defect and single coronary artery
Author(s) -
Alkhushi Naif,
AlRadi Osman O.,
Ajlan Amr,
Abdelmohsen Gaser,
Attia Wael
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13674
Subject(s) - cardiology , medicine , pulmonary atresia , pulmonary artery , atresia , fistula , artery , radiology
In cases of pulmonary atresia with ventricular septal defect ( PA ‐ VSD ), coronary‐pulmonary arterial fistula ( CPAF ) as the main source of pulmonary blood supply is extremely rare. These fistulae may arise from the left coronary artery, right coronary artery, or a single coronary artery. Fistulae from a single coronary artery are unusual. We are reporting a case of PA ‐ VSD with single coronary artery and CPAF as the main source of pulmonary supply in addition to two major aortopulmonary collateral arteries ( MAPCAS ). Successful surgical correction with VSD closure and right ventricle ( RV ) to the pulmonary artery ( PA ) conduit was made.