Artery fistula causing aortic regurgitation in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25952246.
- Also identified by DOI 10.1016/j.athoracsur.2015.02.059.
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Abstract
We report a case of aortic regurgitation (AR), coronary artery-to-pulmonary artery (CAPA) fistula, pulmonary atresia with ventricular septal defect (PA/VSD), and major aortopulmonary collateral arteries (MAPCAS). As a result of coronary steal and AR, myocardial ischemia and ventricular dysfunction occurred. When the patient was 2 months old with a body weight of 2.7 kg, we performed fistula ligation, aortic valvuloplasty, unifocalization of the MAPCAS, and right ventricle-to-pulmonary artery shunting. After the operation, the AR volume reduced, and the patient was scheduled for repair.
Medical subject headings
- Aorta, Thoracic
- Aortic Valve Insufficiency
- Arterio-Arterial Fistula
- Collateral Circulation
- Coronary Artery Disease
- Heart Septal Defects
- Pulmonary Artery
- Pulmonary Atresia