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

Nelson Alphonso, Petros V. Anagnostopoulos, Anthony Azakie, Tom R. Karl

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)397-399
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume30
Issue number2
DOIs
StatePublished - Aug 2006

Keywords

  • Coronary vessel anomalies
  • Extracorporeal circulation
  • Vascular fistula

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