A communication between the coronary and pulmonary arteries, described previously only in isolated cases1-3 and a series of 5 patients in which the communication was called an "aortopulmonary tunnel,"4 is a rare source of pulmonary arterial supply in tetralogy of Fallot with pulmonary atresia. Between 1954 and 1987, we encountered 4 patients with tetralogy of Fallot and pulmonary atresia in whom the pulmonary flow to one or both lungs was via a fistulous communication between a coronary artery and the intrapericardial pulmonary arteries. They form the basis of this report.
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine