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Congenital pulmonary arteriovenous fistula producing pulmonary arterial steal syndrome
Authors:Ruthellen Fried  James Burns Amberson  John E O'Loughlin  Sonia B Cruz  Kenneth W Sniderman  Adolfo B Firpo  Mary Allen Engle MD
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
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
Keywords:Persistent cyanosis  Pulmonary arterial steal syndrome  Pulmonary arteriovenous fistula
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