Aorta-to-pulmonary vein fistula in an asymptomatic 25-year-old man

Dahiya, Arun, Collier, Patrick, Krasuski, Richard, Kalahasti, Vidyasagar, del Nido, Pedro and Stewart, William J. (2013) Aorta-to-pulmonary vein fistula in an asymptomatic 25-year-old man. Circulation, 127 16: 1727-1729. doi:10.1161/CIRCULATIONAHA.112.125757


Author Dahiya, Arun
Collier, Patrick
Krasuski, Richard
Kalahasti, Vidyasagar
del Nido, Pedro
Stewart, William J.
Title Aorta-to-pulmonary vein fistula in an asymptomatic 25-year-old man
Journal name Circulation   Check publisher's open access policy
ISSN 0009-7322
1524-4539
Publication date 2013-04-23
Sub-type Article (original research)
DOI 10.1161/CIRCULATIONAHA.112.125757
Open Access Status
Volume 127
Issue 16
Start page 1727
End page 1729
Total pages 3
Place of publication Lippincott Williams & Wilkins
Publisher Baltimore, MD, United States
Language eng
Formatted abstract
A 25-year-old man with no significant medical history was found to have a continuous murmur along the left sternal border on routine physical examination performed in preparation for running a marathon. Echocardiography showed a dilated left ventricle with normal function and continuous high-velocity flow in an aberrant vessel in close vicinity to the abdominal aorta. Chest x-ray disclosed conglomeration of tubular densities in a scimitar pattern in the right lower lobe suggestive of anomalous pulmonary venous return of right lower lobe (scimitar syndrome; anomalous drainage of right lung pulmonary veins into the inferior vena cava). Cardiac magnetic resonance imaging (MRI) not only demonstrated normal drainage of all 4 pulmonary veins into the left atrium but also revealed an aberrant vessel extending between the abdominal aorta and the right inferior pulmonary vein with an elevated systemic-to-pulmonary flow ratio of 1.8, consistent with a large left-to-left shunt. Cardiac computed tomography (CT) confirmed the presence of a large fistulous connection between the abdominal aorta and the right inferior pulmonary vein located in the right lower lobe...
Keyword Bronchopulmonary sequestration
Heart-failure
Embolization
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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