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A congenital fistula between the descending aorta and the right pulmonary vein in a neonate presenting with heart failure

Published online by Cambridge University Press:  01 October 2007

Suhair O. Shebani
Affiliation:
Department of Paediatric Cardiology, Glenfield Hospital, Leicester, United Kingdom
Mohammad D. Khan*
Affiliation:
Department of Paediatric Cardiology, Glenfield Hospital, Leicester, United Kingdom
Magdi A. Tofeig
Affiliation:
Department of Paediatric Cardiology, Glenfield Hospital, Leicester, United Kingdom
*
Correspondence to: Dr Mohammad D. Khan, Consultant Paediatric Cardiologist, Glenfield Hospital, Groby Rd, Leicester, LE3 9QP, UK. Tel: +44 (0)116 256 3082; Fax: +44 (0)116 250 2422; E-mail: Mohammed.Khan@uhl-tr.nhs.uk

Abstract

We report a large congenital fistula connecting the descending thoracic aorta to the right upper pulmonary vein in a newborn baby presenting on the seventh day of life with cardiac failure and a continuous murmur heard posteriorly. The fistula was detected echocardiographically, and shown at cardiac catheterisation not to be suitable for percutaneous occlusion. The anatomy of the fistula was confirmed at surgery, when it was ligated successfully.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2007

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References

1.Khan, MD, Sivasubramonian, S, Simpson, JM. Prenatal diagnosis of tetralogy of Fallot associated with a fistula from the left coronary artery to the left atrium. Cardiol Young 2003; 13: 194196.CrossRefGoogle Scholar
2.Nihoyannopoulos, P, Sapaford, R, Oakley, CM. Congenital fistula between the aorta and left atrium. Br Heart J 1978; 57: 387390.CrossRefGoogle Scholar
3.Coto, EO, Caffarena, JM, Such, M, Marques, JM. Aorto-right atrial communications. Report of an unusual case. Thorac Cardiovasc Surg 1980; 80: 941944.CrossRefGoogle Scholar
4.Danilowicz, D, Presti, S, Colvin, S, Rostenkowski, M. Congenital fistulous tract between aorta and right atrium presenting as heart failure in a new born. Pediatr Cardiol 1989; 10: 9397.CrossRefGoogle Scholar
5.Rosenberg, H, Williams, WG, Trusler, GA, et al. . Congenital aortic-right atrial communications. The dilemma of differentiation from coronary-cameral fistulas. J Thorac Cardiovasc Surg 1986; 91: 841847.CrossRefGoogle Scholar
6.Soler, P, Mehta, AV, Garcia, AL, Kaiser, G, Tamer, D. Congenital systemic arteriovenous fistula between the descending aorta, azygos vein, and superior vena. Chest 1981; 80: 647649.CrossRefGoogle ScholarPubMed
7.Elwatidy, AF, Galal, AN, Rhydderch, D, Ashmeg, AK. Aorto to right atrial fistula. Ann Thorac Surg 2003; 76: 929931.CrossRefGoogle ScholarPubMed