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Fistula between the right pulmonary artery and the left atrium coexisting with a secundum‐type atrial septal defect: An unusual case of cyanosis in a girl
Author(s) -
Zhang WeiMin,
Zhu Haixu,
Maimaitiaili Aizezi,
Ayibieke Naibi,
Ermek Tangsakar,
Liu Jun,
Zhang Zonggang,
Li Shiguo
Publication year - 2019
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.14414
Subject(s) - septum secundum , medicine , fistula , shunt (medical) , pulmonary artery , right pulmonary artery , cardiology , left pulmonary artery , right atrium , heart disease , left atrium , heart septal defect , surgery , right to left shunt , girl , patent foramen ovale , psychology , developmental psychology , atrial fibrillation , migraine
A fistula between the pulmonary artery ( PA ) and the left atrium ( LA ) is a rare congenital heart disease that usually presents with cyanosis, clubbing, and dyspnea, as well as the signs and symptoms of a right‐to‐left shunt. Herein, we report a 16‐year‐old girl with a fistula between the right PA and the LA . This type of fistula could lead to systemic desaturation. This patient also had an atrial septal defect of the secundum type and has been followed up without treatment. The clinical manifestations and treatment of fistulas located between the PA and LA are also reviewed in this report.