Congenital pulmonary arteriovenous fistula producing pulmonary arterial steal syndrome |
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Authors: | Ruthellen Fried James Burns Amberson John E O'Loughlin Sonia B Cruz Kenneth W Sniderman Adolfo B Firpo Mary Allen Engle MD |
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Institution: | (1) Division of Pediatric Cardiology and Department of Pathology, The New York Hospital-Cornell Medical Center, New York, New York;(2) Division of Pediatric Cardiology and Department of Radiology, The New York Hospital-Cornell Medical Center, New York, New York |
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Abstract: | Summary This report describes a congenital pulmonary arterial steal syndrome manifested as cyanosis and acidosis in a newborn. A fistulous
connection between the right pulmonary artery and a large, anomalous right common pulmonary vein stole blood from the pulmonary
arteries. The anomaly was suspected because of a pericardiac shadow on frontal and lateral chest films, substantiated by M-mode
echocardiogram, confirmed at cardiac catheterization with angiocardiography, and analyzed at postmortem examination.
Supported in part by a grant from The Rose M. Badgeley Charitable Trust |
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Keywords: | Persistent cyanosis Pulmonary arterial steal syndrome Pulmonary arteriovenous fistula |
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