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Ann Thorac Surg 2001;71:355-356
© 2001 The Society of Thoracic Surgeons

Case report

Pulmonary atresia, ventricular septal defect, and coronary-pulmonary artery fistula

Yukihiro Kaneko, MDa,b, Hideo Okabe, MDa,b, Nobuhiro Nagata, MDa,b, Jotaro Kobayashi, MDa,b, Arata Murakami, MDa,b, Shinichi Takamoto, MDa,b

a Department of Thoracic and Cardiovascular Surgery, Kanagawa Children’s Medical Center, Yokohama, Japan
b Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Accepted for publication March 13, 2000.

Address reprint requests to Dr Kaneko, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
e-mail: kaneko-tho{at}h.u-tokyo.ac.jp

We report 2 patients with pulmonary atresia, ventricular septal defect, and coronary-pulmonary fistula. The fistula originated from the left anterior descending artery in 1 patient, and from the right coronary artery in the other. Both patients survived staged correction in which right ventricular outflow was reconstructed with autologous fistula tissue. One patient with pulmonary hypertension suddenly died 9 months after surgery. Twenty-four patients with pulmonary atresia, ventricular septal defect, and coronary-pulmonary fistula have been reported previously.




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