Right pulmonary artery to left atrial fistula in a neonate: case report and review of the literature

Monge, M. C.; Russell, H. M.; Popescu, A. R.; Robinson, J. D.

World J Pediatr Congenit Heart Surg. 2014 Mar 29; 5(2):306-10


A communication between the right pulmonary artery (RPA) and the left atrium is a rare congenital anomaly that presents with cyanosis and heart failure. We describe the surgical repair of an RPA to left atrial fistula using cardiopulmonary bypass in a neonate. Advanced imaging (computed tomography scan) guided the surgical approach. Although previous reports have associated a patent ductus arteriosus with high neonatal mortality, in our case, the ductus arteriosus was actually important for maintaining enough total pulmonary blood flow.

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