Acute aorto-pulmonary fistula following balloon pulmonary angioplasty after arterial switch operation.

A 13-year old girl, who had undergone arterial switch operation using the Lecompte manoeuvre for TGA, developed aortopulmonary fistula derived from the balloon angioplasty for pulmonary artery (PA) stenosis (Fig. 1A–C). Because the adhesive tissue prevented cardiac tamponade, elective surgical repair including PA reconstruction using a composite graft was successfully done several days after recovering from acute heart failure (Fig. 2A–C).