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Aortopulmonary artery fistula: A rare complication of balloon dilatation of the pulmonary artery


1 Department of Medical Imaging, A. I. DuPont Hospital for Children, Wilmington, DE, USA
2 Department of Surgery, Division of Pediatric Cardiothoracic Surgery, A. I. DuPont Hospital for Children, Wilmington, DE, USA

Correspondence Address:
Dr. Rahul Nikam
Department of Medical Imaging, A. I. DuPont Hospital for Children, 1600 Rockland Rd., Wilmington, DE 19803
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_251_20

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Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 225-227

 

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Acquired aortopulmonary fistula (APF) in the setting of repaired congenital heart disease is extremely rare but potentially fatal, so timely diagnosis and treatment are critical. We present a case of an 8-year-old female with a history of complex Taussig-Bing anomaly, who underwent an arterial switch procedure with LeCompte maneuver and ventricular septal defect closure early in life. The patient developed neopulmonary stenosis and branch pulmonary artery (PA) stenosis, for which she underwent patch augmentation and balloon dilatation of the left PA. The patient presented with a fistula between the ascending aorta and the left branch PA, confirmed by echocardiography and cardiac catheterization. She underwent repair of the APF with a homograft patch reconstruction of the ascending aorta.






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1 Department of Medical Imaging, A. I. DuPont Hospital for Children, Wilmington, DE, USA
2 Department of Surgery, Division of Pediatric Cardiothoracic Surgery, A. I. DuPont Hospital for Children, Wilmington, DE, USA

Correspondence Address:
Dr. Rahul Nikam
Department of Medical Imaging, A. I. DuPont Hospital for Children, 1600 Rockland Rd., Wilmington, DE 19803
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_251_20

Rights and Permissions

Acquired aortopulmonary fistula (APF) in the setting of repaired congenital heart disease is extremely rare but potentially fatal, so timely diagnosis and treatment are critical. We present a case of an 8-year-old female with a history of complex Taussig-Bing anomaly, who underwent an arterial switch procedure with LeCompte maneuver and ventricular septal defect closure early in life. The patient developed neopulmonary stenosis and branch pulmonary artery (PA) stenosis, for which she underwent patch augmentation and balloon dilatation of the left PA. The patient presented with a fistula between the ascending aorta and the left branch PA, confirmed by echocardiography and cardiac catheterization. She underwent repair of the APF with a homograft patch reconstruction of the ascending aorta.






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