Images in Cardiothoracic Medicine and Surgery
Pulmonary atresia with left main coronary artery fistula to the pulmonary artery
Asian Cardiovascular & Thoracic Annals 2014, Vol. 22(8) 995 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313499925 aan.sagepub.com
Vinitha Viswambharan Nair, Dhananjay Malankar and Balram Airan
Figure 1. Cardiac catheterization. LAD: left anterior descending artery; LCX: left circumflex artery; LMCA: left main coronary artery; LPA: left pulmonary artery; RPA: right left pulmonary artery.
Figure 3. Operative photograph showing the open right ventricular outflow tract (RVOT) with membranous pulmonary atresia (PA) and the coronary probe placed inside the pulmonary arterial end of the fistula. LPA: left pulmonary artery.
dyspnea. Two-dimensional echocardiography and cardiac catheterization identified a fistula arising from left coronary artery to the main pulmonary artery (Figure 1). Intraoperatively, the left coronary artery was found to be dilated (Figure 2) and connected to the main pulmonary artery through the fistula posteriorly (Figure 3). Direct closure of fistulous opening, closure of VSD and pericardial patch reconstruction of the right ventricular outflow tract were performed. Conflicts of interest statement None declared.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Figure 2. Operative photograph showing the dilated left main coronary artery (LMCA). RA: right atrium, SVC: superior vena cava.
Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
An 11-year-old boy with ventricular septal defect (VSD) and pulmonary atresia, with history of aortato-right pulmonary artery shunt followed by unifocalization of aortopulmonary collaterals, presented with
Corresponding author: Vinitha Viswambharan Nair, MS, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Email: [email protected]
Downloaded from aan.sagepub.com at Bobst Library, New York University on May 10, 2015
Pulmonary atresia with left main coronary artery fistula to the pulmonary artery
Asian Cardiovascular & Thoracic Annals 2014, Vol. 22(8) 995 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313499925 aan.sagepub.com
Vinitha Viswambharan Nair, Dhananjay Malankar and Balram Airan
Figure 1. Cardiac catheterization. LAD: left anterior descending artery; LCX: left circumflex artery; LMCA: left main coronary artery; LPA: left pulmonary artery; RPA: right left pulmonary artery.
Figure 3. Operative photograph showing the open right ventricular outflow tract (RVOT) with membranous pulmonary atresia (PA) and the coronary probe placed inside the pulmonary arterial end of the fistula. LPA: left pulmonary artery.
dyspnea. Two-dimensional echocardiography and cardiac catheterization identified a fistula arising from left coronary artery to the main pulmonary artery (Figure 1). Intraoperatively, the left coronary artery was found to be dilated (Figure 2) and connected to the main pulmonary artery through the fistula posteriorly (Figure 3). Direct closure of fistulous opening, closure of VSD and pericardial patch reconstruction of the right ventricular outflow tract were performed. Conflicts of interest statement None declared.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Figure 2. Operative photograph showing the dilated left main coronary artery (LMCA). RA: right atrium, SVC: superior vena cava.
Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
An 11-year-old boy with ventricular septal defect (VSD) and pulmonary atresia, with history of aortato-right pulmonary artery shunt followed by unifocalization of aortopulmonary collaterals, presented with
Corresponding author: Vinitha Viswambharan Nair, MS, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Email: [email protected]
Downloaded from aan.sagepub.com at Bobst Library, New York University on May 10, 2015
