Fistula between the right pulmonary artery and left atrium in a newborn: management and successful interventional treatment

Figure 1. A fistula between the right pulmonary artery and the left atrium presented on 3D volume-rendered computed tomography reconstructions (A & B). Angiography performed before (C) and after implantation (D) of an AMPLATZER Duct Occluder II device.

A huge fistula between the right pulmonary artery and the left atrium was found prenatally in the 27th week of gestation and associated with cardiomegaly related to left heart enlargement (Moving image 1). The fistula presented proximal narrowing close to the right pulmonary artery and partially limited the inflow. The maximum pressure gradient was initially 36 mmHg and gradually increased to 49 mmHg ...