Catheter Interventional Closure of a Large Right Pulmonary Artery–to–Left Atrial Communication in a Neonate
Case Report
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Abstract
Right pulmonary artery–to–left atrial communication is a rare congenital vascular malformation that results in a right-to-left shunting. This report describes the case history of a neonate with a large right pulmonary artery–to–left atrial connection resulting in cyanosis and severe heart failure who underwent successful early catheter interventional therapy. In the neonate, this lesion can be diagnosed accurately using transthoracic echocardiography. Closure of the communication can be achieved even in infants via percutaneous interventional catheterization with a low procedure-related risk and a good midterm follow-up result.
Keywords
Catheter interventional therapy Congenital heart defect Pulmonary artery–to–left atrium communication NeonateReferences
- 1.Bockeria L, Podzolkov V, Makhachev O, Kim A (2010) Congenital direct communication between the right pulmonary artery and the left atrium: anatomic variations and surgical experience. Interact CardioVasc Thorac Surg 10:114–115PubMedCrossRefGoogle Scholar
- 2.Chowdhury UK, Kothari SS, Airan B, Subramaniam KG, Venugopal P (2005) Right pulmonary artery–to–left atrium communication. Ann Thorac Surg 80:365–370PubMedCrossRefGoogle Scholar
- 3.De Souza e Silva NA, Giuliani ER, Ritter DG, Davis GD, Pluth JR (1974) Communication between right pulmonary artery and left atrium. Am J Cardiology 34:857–863CrossRefGoogle Scholar
- 4.Dimas VV, Takao C, Ing FF, Mattamal R, Nugent AW, Grifka RG, Mullins CE, Justino H (2010) Outcomes of transcatheter occlusion of patent ductus arteriosus in infants weighing <6 kg. J Am Coll Cardiol Intv 3:1295–1299Google Scholar
- 5.Duff DF, McNamara DG (1998) History and physical examination of the cardiovascular system. In: Garson A Jr, Bricker TM, Fisher DJ, Neish SR (eds) The science and practice of pediatric cardiology. Williams and Wilkins, Baltimore, p 693Google Scholar
- 6.Friedlich A, Bing RJ, Blount SG Jr (1950) Physiological studies in congenital heart disease: IX. Circulatory dynamics in the anomalies of venous return to the heart including pulmonary arteriovenous fistula. Bull Johns Hopkins Hosp 86:20–57PubMedGoogle Scholar
- 7.Luo GH, Ma WG, Huang LJ, Zhu XD (2011) Surgical and transcatheter closure of right pulmonary artery–to–left atrial fistula. J Card Surg 26:130–134PubMedCrossRefGoogle Scholar
- 8.Margaryan R, Arcieri L, Cantinotti M, Murzi B (2010) Surgical closure of big pulmonary artery–left atrial fistula. Interact CardioVasc Thorac Surg 1:113–114CrossRefGoogle Scholar
- 9.Ramakrishnan S, Shivdas S, Kothari SS (2010) Transseptal closure of a right pulmonary artery to left atrial communication. Cathet Cardiovasc Intervent 75:1096–1099Google Scholar
- 10.Slack MC, Jedeikin R, John JS (2000) Transcatheter coil closure of a right pulmonary artery–to–left atrial fistula in an ill neonate. Cathet Cardiovasc Intervent 50:330–333CrossRefGoogle Scholar
- 11.Wingen M, Günther RW (2001) Pulmonary arteriovenous malformations. Deutsches Ärzteblatt 20:1326–1330Google Scholar
- 12.Zeebregts CJ, Nijveld A, Lam J, van Oort AM, Lacquet LK (1997) Surgical treatment of a fistula between the right pulmonary artery and the left atrium: presentation of two cases and review of literature. Eur J Cardiothorac Surg 11:1056–1061PubMedCrossRefGoogle Scholar
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