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Eur J Cardiothorac Surg · Aug 2006
Case ReportsUndiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery.
- Nelson Alphonso, Petros V Anagnostopoulos, Anthony Azakie, and Tom R Karl.
- Pediatric Heart Center, UCSF Children's Hospital, Division of Pediatric Cardiothoracic Surgery, 513 Parnassus Avenue, Suite S-549, Box 0117, San Francisco, CA 94143-0117, USA.
- Eur J Cardiothorac Surg. 2006 Aug 1;30(2):397-9.
AbstractA patient with preoperative pulmonary hypertension and a large left to right intracardiac shunt underwent surgical correction of a complex cardiac anomaly and required extracorporeal life support for unexplained ventricular dysfunction following the procedure. Following recovery, a fistulous connection between the right coronary artery and main pulmonary artery was demonstrated. Implications and management strategies of unsuspected coronary fistula in pediatric heart surgery are discussed.
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