TY - JOUR
T1 - Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery
AU - Alphonso, Nelson
AU - Anagnostopoulos, Petros V.
AU - Azakie, Anthony
AU - Karl, Tom R.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006/8
Y1 - 2006/8
N2 - 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.
AB - 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.
KW - Coronary vessel anomalies
KW - Extracorporeal circulation
KW - Vascular fistula
UR - http://www.scopus.com/inward/record.url?scp=33745917376&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745917376&partnerID=8YFLogxK
U2 - 10.1016/j.ejcts.2006.05.011
DO - 10.1016/j.ejcts.2006.05.011
M3 - Article
C2 - 16829110
AN - SCOPUS:33745917376
SN - 1010-7940
VL - 30
SP - 397
EP - 399
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
IS - 2
ER -