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Published in: Pediatric Cardiology 8/2012

01-12-2012 | Case Report

Catheter Interventional Closure of a Large Right Pulmonary Artery–to–Left Atrial Communication in a Neonate

Authors: Antje Burkamp, Renzo Ghisla, Walter Knirsch, Oliver Kretschmar, Christian Balmer

Published in: Pediatric Cardiology | Issue 8/2012

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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.
Literature
1.
go back to reference 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 10:114–115PubMedCrossRef 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 10:114–115PubMedCrossRef
2.
go back to reference Chowdhury UK, Kothari SS, Airan B, Subramaniam KG, Venugopal P (2005) Right pulmonary artery–to–left atrium communication. Ann Thorac Surg 80:365–370PubMedCrossRef Chowdhury UK, Kothari SS, Airan B, Subramaniam KG, Venugopal P (2005) Right pulmonary artery–to–left atrium communication. Ann Thorac Surg 80:365–370PubMedCrossRef
3.
go back to reference 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 34:857–863CrossRef 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 34:857–863CrossRef
4.
go back to reference 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 3:1295–1299 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 3:1295–1299
5.
go back to reference 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 693 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 693
6.
go back to reference 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 86:20–57PubMed 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 86:20–57PubMed
7.
go back to reference Luo GH, Ma WG, Huang LJ, Zhu XD (2011) Surgical and transcatheter closure of right pulmonary artery–to–left atrial fistula. J Card Surg 26:130–134PubMedCrossRef Luo GH, Ma WG, Huang LJ, Zhu XD (2011) Surgical and transcatheter closure of right pulmonary artery–to–left atrial fistula. J Card Surg 26:130–134PubMedCrossRef
8.
go back to reference Margaryan R, Arcieri L, Cantinotti M, Murzi B (2010) Surgical closure of big pulmonary artery–left atrial fistula. Interact CardioVasc Thorac Surg 1:113–114CrossRef Margaryan R, Arcieri L, Cantinotti M, Murzi B (2010) Surgical closure of big pulmonary artery–left atrial fistula. Interact CardioVasc Thorac Surg 1:113–114CrossRef
9.
go back to reference Ramakrishnan S, Shivdas S, Kothari SS (2010) Transseptal closure of a right pulmonary artery to left atrial communication. Cathet Cardiovasc Intervent 75:1096–1099 Ramakrishnan S, Shivdas S, Kothari SS (2010) Transseptal closure of a right pulmonary artery to left atrial communication. Cathet Cardiovasc Intervent 75:1096–1099
10.
go back to reference 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 50:330–333CrossRef 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 50:330–333CrossRef
11.
go back to reference Wingen M, Günther RW (2001) Pulmonary arteriovenous malformations. Deutsches Ärzteblatt 20:1326–1330 Wingen M, Günther RW (2001) Pulmonary arteriovenous malformations. Deutsches Ärzteblatt 20:1326–1330
12.
go back to reference 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 11:1056–1061PubMedCrossRef 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 11:1056–1061PubMedCrossRef
Metadata
Title
Catheter Interventional Closure of a Large Right Pulmonary Artery–to–Left Atrial Communication in a Neonate
Authors
Antje Burkamp
Renzo Ghisla
Walter Knirsch
Oliver Kretschmar
Christian Balmer
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 8/2012
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-012-0262-3

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