Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery

    loading  Checking for direct PDF access through Ovid


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.

Related Topics

    loading  Loading Related Articles