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

Alphonso, Nelson; Anagnostopoulos, Petros V.; Azakie, Anthony; Karl, Tom R.
August 2006
European Journal of Cardio-Thoracic Surgery;Aug2006, Vol. 30 Issue 2, p397
Academic Journal
Abstract: 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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