Journal of Chest Surgery

  • 제54권1호
  • /
  • Pages.65-67
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  • 2021
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Successful Dual-Patch Closure of a Fistula between the Right Pulmonary Artery and the Left Atrium

  • Joshi, Abhishek Shrinivas (Department of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital) ;
  • Aironi, Balaji Dattatray (Department of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital)
  • 투고 : 2020.05.06
  • 심사 : 2020.07.01
  • 발행 : 2021.02.05
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초록

A fistula between the right pulmonary artery and the left atrium is a very rare congenital anomaly, for which there is no definitive embryogenetic explanation. Patients present with cyanosis or clubbing, and the treatment strategy is to close the fistula, which can be done by an open surgical technique or by percutaneous intervention. Although rare, this condition should be considered in the differential diagnosis when evaluating a patient with central cyanosis.

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참고문헌

  1. Muthialu N, Joshi S, Hoskote A, Bhole V. Rare cause of central cyanosis: right pulmonary artery to left atrial fistula. Interact Cardiovasc Thorac Surg 2016;23:839-40. https://doi.org/10.1093/icvts/ivw204
  2. Chowdhury UK, Kothari SS, Airan B, Subramaniam KG, Venugopal P. Right pulmonary artery to left atrium communication. Ann Thorac Surg 2005;80:365-70. https://doi.org/10.1016/j.athoracsur.2004.08.058
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  4. Benz DC, Burkhardt B, Quandt D, Stambach D, Knirsch W, Kretschmar O. Interventional closure of RPA-to-LA communication in an oligosymptomatic neonate. Eur J Pediatr 2014;173:1703-5. https://doi.org/10.1007/s00431-014-2337-z
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