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Anesthetic and intensive care management of left main coronary artery to main pulmonary artery fistula diagnosed in postoperative case of tetralogy of fallot


1 Department of Cardiac Anesthesia, U.N.Mehta Institute of Cardiology and Research Center, Ahmadabad, Gujarat, India
2 Department of Cardiac Anesthesia, U. N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Asarva, Ahmedabad, Gujarat, India
3 Department of Pediatric Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India
4 Department of Pediatric Cardiology, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India

Correspondence Address:
Suvendu Panda
Department of Cardiac Anesthesia, U.N.Mehta Institute of Cardiology and Research Center, Ahmadabad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_87_20

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Year : 2021  |  Volume : 24  |  Issue : 2  |  Page : 272-274

 

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Cases of coronary to pulmonary artery fistula are seen in patients of pulmonary atresia with ventricular septal defect (VSD). These fistulas are rarely seen in patients of Tetralogy of Fallot (TOF). In this case report, we have presented ICU management of a postoperative case of TOF, with missed diagnosis of left main coronary artery (LMCA) to main pulmonary artery (MPA) fistula.






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1 Department of Cardiac Anesthesia, U.N.Mehta Institute of Cardiology and Research Center, Ahmadabad, Gujarat, India
2 Department of Cardiac Anesthesia, U. N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Asarva, Ahmedabad, Gujarat, India
3 Department of Pediatric Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India
4 Department of Pediatric Cardiology, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India

Correspondence Address:
Suvendu Panda
Department of Cardiac Anesthesia, U.N.Mehta Institute of Cardiology and Research Center, Ahmadabad, Gujarat
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_87_20

Rights and Permissions

Cases of coronary to pulmonary artery fistula are seen in patients of pulmonary atresia with ventricular septal defect (VSD). These fistulas are rarely seen in patients of Tetralogy of Fallot (TOF). In this case report, we have presented ICU management of a postoperative case of TOF, with missed diagnosis of left main coronary artery (LMCA) to main pulmonary artery (MPA) fistula.






[FULL TEXT] [PDF]*


        
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