Catheter‐guided Open Ligation of a Pulmonary Artery to Left Atrium Connection |
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| Authors: | Torbjörn Ivert MD PhD Maryam Fathi MD PhD Gunilla Forssell MD PhD Bertil Svane MD PhD Dan Lindblom MD PhD |
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| Affiliation: | 1. Karolinska University Hospital—Department of Cardiothoracic Surgery and Anesthesiology,;2. Karolinska University Hospital—Pulmonary Medicine and Allergy, and;3. Karolinska University Hospital—Department of Cardiology, Stockholm, Sweden |
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| Abstract: | Congenital malformations causing mild cyanosis can be overlooked. A large intrapulmonary right pulmonary artery to left atrium connection was the unusual etiology of arterial oxygen desaturation and erythrocytosis in an asymptomatic 30‐year‐old patient. The shunt was not possible to detect at echocardiography. It was closed via a median sternotomy without the aid of cardiopulmonary bypass. A novel technique was to use an angiographic catheter inserted through the wide shunt into the left atrium before the operation to securely identify it at the surgical dissection. |
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| Keywords: | Congenital Heart Disease Cyanotic Pulmonary Arteries Shunts Cardiac |
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