Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery.
نویسندگان
چکیده
A 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.
منابع مشابه
Managing low cardiac output syndrome after congenital heart surgery.
Patients with congenital or acquired heart disease comprise a major diagnostic category for admissions in large pediatric intensive care units (ICUs) across the country, compromising 30% to 40% or more of admissions in many centers. Obviously, assessment and treatment of low cardiac output states among patients with heart disease can be life saving. Although some causes of low cardiac output af...
متن کاملCoronary Arteriovenous Fistula Causing Hydrops Fetalis
Fetal heart failure and hydrops fetalis may occur due to systemic arteriovenous fistula because of increased cardiac output. Arteriovenous fistula of the central nervous system, liver, bone or vascular tumors such as sacrococcygeal teratoma were previously reported to be causes of intrauterine heart failure. However, coronary arteriovenous fistula was not reported as a cause of fetal heart fail...
متن کاملCongenital Aortocaval Fistula from Right Subclavian Artery to Superior Vena Cava in an Adult with Tetralogy of Fallot
Congenital aortocaval fistula in association with complex congenital heart disease has never been described before. We represent an adult with tetralogy of fallot and an undiagnosed subclavian artery to superior vena cava fistula in previous catheterisms. He underwent surgical correction, successfully. After 8 months post operation he was doing well with improved functional capacity and no ...
متن کاملPediatric coronary artery fistula: echocardiographic case reports and literature review of treatment strategy
BACKGROUND Coronary artery fistula (CAF) is a rare cardiac anomaly. Application of transthoracic echocardiography (TTE) is not fully illustrated in pediatric period. Meanwhile, the treatment strategy of CAF is still a controversial issue. CASE PRESENTATION Five cases of CAF with different types were presented. We also retrospectively reviewed 32 records of CAF in our institution from May 2001...
متن کاملCardiac transplantation complicated by acute thrombotic occlusion of the right coronary artery.
We report the case of a 63-year-old male patient undergoing cardiac transplantation due to fourth time aortic valve endocarditis. The postoperative course was complicated by thrombotic occlusion of the right coronary artery (RCA) causing acute right ventricular myocardial infarction, which required extracorporeal membrane oxygenation. The RCA could be reopened by catheter-based intervention and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 30 2 شماره
صفحات -
تاریخ انتشار 2006