Summary
A fistula between the pulmonary artery (PA) and the left atrium (LA) is a rare form of congenital heart disease, 34 cases having been described in the literature, all from the right pulmonary artery (RPA). Only six cases were diagnosed in the newborn period. We report such a case, diagnosed at 1 day of age by Doppler echocardiography, with an unusual site of the fistula.
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References
Abe T, Kuribayashi R, Sato M (1972) Direct communication of right pulmonary artery with the left atrium: a case report and review of literature.J Thorac Cardiovasc Surg 64:38–44
Arendrup H (1982) Direct communication between the pulmonary artery and left atrium.Scand J Thorac Cardiovasc Surg 16:157–160
Auldist A, Westlake G (1968) Fistula between the right pulmonary artery and left atrium.Aust N Z J Surg 37:240–241
Bahl VK, Balachander J, Gupta RK, Kaul UA, Sharma SR, Khalilullah M (1983) Direct communication between pulmonary artery and left atrium. Indian HeartJ 35:234–237
Bauersfeld SR, Zuberbuhler JR, Ford WB (1964) Right pulmonary artery left atrial communication.Am Heart J 67:244–250
Castleman B, Kibbee BU (1959) Case records of the Massachusetts General Hospital.N Engl J Med 260:1180–1186
Cheatham JP, Barnhart DA, Gutgesell HP (1982) Right pulmonary artery to left atrium communication an unusual cause of cyanosis in the newborn.Pediatr Cardiol 2:149–152
Clarke CP, Goh TH, Blackwood A, Venables AW (1979) Massive pulmonary arteriovenous fistula in the newborn.Br Heart J 38:1092–1095
De Souza Silva NA, Giuliani ER, Ritter DG, Davis GD, Pluth JR (1974) Communication between right pulmonary artery and left atrium.Am J Cardiol 34:857–863
Freid R, Amberson JB, O'Loughlin JE, Cruz SB, Sniderman KW, Firpo AB, Engle MA (1982) Congenital pulmonary arteriovenous fistula producing pulmonar arterial steal syndrome.Pediatr Cardiol 2:313–318
Friedlich A, Bing EJ, Blount SG (1950) Physiological studies in congenital heart disease—IX—circulatory dynamics in the anomalies of venous return to the heart including pulmonary arteriovenous fistula.Bull John Hopkins Hosp 86:20–57
Hope JW, Burns PF, Koop CE (1963) Radiologic diagnosis of mediastinal masses in infants and children.Radiol Clin North Am 1:17–50
Ito T, Yokota H, Murata H, Nakahara M, Kodama K, Kitamura S (1986) Direct communication between the pulmonary artery and the left atrium.J Cardiovasc Surg 27:108–112
Itoh I (1982) Direct communication of the right pulmonary artery with the left atrium. A case report and review of literature.J Jpn Assoc Thorac Surg 30:1865
Kaplan S (1968) Pulmonary arteriovenous fistula. In: Watson H (ed)Pediatric cardiology XIX. Lloyd-Luke Ltd, London, pp 316–318
Kashani IA, Gaitan P, Grdver M, Swensson RE, Snyder JM, Utley JR (1984) Right pulmonary artery, left atrial communication a case report and literature review.Jpn Heart J 25:139–145
Krause DW, Kuehn HJ, Sellers RD, Wilson WJ (1974) Roentgen sign associated with an aberrant vessel connecting right main pulmonary artery to left atrium.Radiology 11:177–178
Kroeker EJ, Adams HD, Leon AS, Pouget JM (1963) Congenital communication between a pulmonary artery and left atrium: physiologic observations and review of the literature.Am J Med 34:721–725
Lejars O (1977) Fistule arterioveineuse entre l'artère pulmonaire droite et l'oreillette gauche: à propos d'une observation et revue de la littèrature.Tours: thèse médicale, 78
Lekuona I, Cabrera A, Inguanzo R, Cid C, Agosti J (1986) Direct communication between the right pulmonary artery and left atrium.Thorax 41:78–79
Lemoine G, Thibert M, Leca F, Rolland JC, Allegraud P, Temkine J (1979) Communication entre l'artère pulmonaire droite et l'oreillette gauche: revue de la littérature à propos d'une observation.Arch Mal Coeur 72:552–558
Loogen F, Wolter HH (1957) Uber einen Ungewöhnlichen Arterio-venösen Kurzschluss in Lungenkreislauf.Z Kreislaufforsch 46:328–333
Lucas RV, Lund GW, Edwards JE (1961) Direct communication of a pulmonary artery with left atrium: an unusual variant of pulmonary arteriovenous fistula.Circulation 24:1409–1414
Miao WZ, Qian JQ, Chen XU, Shao SC, Wang S, Chen E (1984) Direct communication between right pulmonary artery and left atrium—A case of report.Chin Med J 97:623–626
Nagai I, Kawashima Y, Fujita S, Miyamoto T, Naito Y, Manabe H (1972) Direct communication of the pulmonary artery to the left atrium.J Jpn Assoc Thorac Surg 20:683–689
Nonoyama A, Itano T, Takimoto R (1966) An unusual variant of pulmonary arteriovenous fistula.Jpn J Thorac Surg 14:404–407
Oda T, Lin YT, Masaki H (1982) Direct communication of the right pulmonary artery with the left atrium in infant.Jpn J Surg 12:224–226
Ohara H, Ito K, Kohguchi N, Ohkawa Y, Akasaka T, Takarada M, Aoki H, Ogata M, Nishibatake M, Fukatsu O, Matsushima K, Sasaki Y (1979) Direct communication between the right pulmonary artery and the left atrium: a case report and review of the literature.J Thorac Cardiovasc Surg 77:742–747
Rolland JC, Thibert M, Lebranchu Y, Lemoine G, Lejars O (1980) Fistula between right pulmonary artery and left atrium—a case report and review of the literature.Semin Hôp Paris 56:853–861
Sassolas F, Long JL, Bozio A, Jocteur-Monrozier D, Andre M, Norman DJ, Champsaur G (1984) Right pulmonary artery-left atrium communication a rare cause of refractory hypoxia in newborn infant.Pediatrie 39:203–208
Sheikhzadeh A, Hakim H, Ghabusi P, Ataii M, Tarbiat S (1984) Right pulmonary artery to left atrial communication: recognition and surgical correction.Am Heart J 107:396–398
Subramanian N, Vasudevan S, Tajmul-Hussain A (1986) Direct communication of a pulmonary artery with left atrium. Report of a case with balloon occlusion studies and successful correction.Angiology 37:136–141
Taussig HB (1960)Congenital malformations of the heart, 2nd ed., vol. 2. Harvard University Press, Cambridge, p 316
Teramoto S (1973) Direct communication of the right pulmonary artery with left atrium.Jpn J Thorac Surg 26:781–785
Tuncali T, Aytac A (1967) Direct communication between right pulmonary artery and left atrium: report of a case and proposal of a new entity.J Pediatr 71:384–389
Verel D, Grainger RG, Taylor DG (1964) Direct communication of a pulmonary artery with the left atrium.Br Heart J 26:856–858
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Jimenez, M., Fournier, A. & Choussat, A. Pulmonary artery to the left atrium fistula as an unusual cause of cyanosis in the newborn. Pediatr Cardiol 10, 216–220 (1989). https://doi.org/10.1007/BF02083296
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DOI: https://doi.org/10.1007/BF02083296