Traumatic pulmonary artery—left atrial fistula: An unusual case of cyanosis in an adult
1979; Elsevier BV; Volume: 98; Issue: 3 Linguagem: Inglês
10.1016/0002-8703(79)90050-4
ISSN1097-6744
AutoresArthur E. Orlick, Herbert N. Hultgren, John D. Stoner, William H. Barry, Lewis Wexler, Eugene Dong,
Tópico(s)Tracheal and airway disorders
ResumoEighteen months after sustaining a stab wound to the left upper chest, a 59-year-old man presented with cyanosis and extertional dyspnea. Arterial desaturation due to a central 22 per cent right-to-left shunt was present. A selective pulmonary arteriogram demonstrated a fistula between the main pulmonary artery and the left atrium. At operation the fistula was closed. A laceration of the pulmonic valve and healed pericarditis were present. Marked symptomatic improvement followed the operation, but a murmur of pulmonic valvular regurgitation persisted. The fistula and laceration of the pulmonic valve were probably traumatic in origin.
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