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Case Reports
. 2018 May-Aug;11(2):211-213.
doi: 10.4103/apc.APC_138_17.

Pulmonary artery-to-left atrial fistula discovered after the closure of atrial septal defect: A rare clinical scenario

Akshay Chauhan  1 , Saket Agarwal  1 , Utsav Gupta  1 , Nayem Raja  1 , Muhammad Abid Geelani  1 , Vijay Trehan  2
Affiliations
Case Reports

Pulmonary artery-to-left atrial fistula discovered after the closure of atrial septal defect: A rare clinical scenario

Akshay Chauhan et al. Ann Pediatr Cardiol. 2018 May-Aug.

Abstract

A case of the right pulmonary artery-to- left atrial fistula with atrial septal defect (ASD) is presented. The fistula was detected after the patient developed desaturation following surgical closure of the ASD. It was managed with a transcatheter (trans-RPA route) closure of the fistula using a 12-mm Amplatzer ventricular septal defect closure device.

Keywords: Atrial septal defect; device closure; pulmonary artery-to-left atrial fistula.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Fluoroscopy with right pulmonary artery injection demonstrating the right pulmonary artery-to-left atrial fistula (arrow)
Figure 2
Figure 2
Plain radiograph of the chest (posteroanterior view) with the radiopaque shadow of the Amplatzer device in situ
Figure 3
Figure 3
Computerized tomography scan (transverse view) showing the Amplatzer device positioned in the right pulmonary artery-to-left atrial fistula
See this image and copyright information in PMC

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