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European Heart Journal 1985 6(8):714-716;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

Coronary artery-pulmonary artery fistula in tetralogy of Fallot with pulmonary atresia

J. H. DARK and J. C. S. POLLOCK

Department of Cardiac Surgery, Royal Hospital for Sick Children Yorkhill, Glasgow

Received 14 February 1985; revised 26 March 1985; .

Address for correspondence. John H. Dark FRCS, Senior Registrar m Cardiothoracic Surgery, The Middlesex Hospital, London Wl, England.

Abstract

The treatment of a rarely described variant of tetralogy of Fallot with pulmonary atresia is reported. The case is unique because the patient remained relatively pink although the pulmonary blood flow came solely from a fistula between the left coronary artery and the main pulmonary artery. The diagnostic and surgical implications are discussed and the literature briefly reviewed. The diagnosis should be borne in mind in patients who have pulmonary atresia with ventricular septal defect and a continuous murmur.

Key Words: Tetralogy of Fallot • pulmonary atresia • coronary artery-pulmonary artery fistula


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