Fistulous communications between a solitary coronary artery and the pulmonary arteries as the primary source of pulmonary blood supply in tetralogy of fallot with pulmonary valve atresia

Elfriede Pahl*, Lance Fong, Robert H. Anderson, Sang C. Park, James R. Zuberbuhler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)140-143
Number of pages4
JournalThe American journal of cardiology
Volume63
Issue number1
DOIs
StatePublished - Jan 1 1989

Funding

From the Division of Cardiology, Children’s Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213. Dr. Anderson was supported by the Patrick Dick Memorial Fund and the British Heart Foundation. Manuscript received May 25, 1988; revised manuscript received and accepted August 25, 1988.

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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