Anesthetic and intensive care management of left main coronary artery to main pulmonary artery fistula diagnosed in postoperative case of tetralogy of fallot

Suvendu Panda; Hemang Gandhi; Jigar Surti; Amit Mishra; Bhavik Champaneri

doi:10.4103/aca.ACA_87_20

Anesthetic and intensive care management of left main coronary artery to main pulmonary artery fistula diagnosed in postoperative case of tetralogy of fallot

Ann Card Anaesth. 2021 Apr-Jun;24(2):272-274. doi: 10.4103/aca.ACA_87_20.

Authors

Suvendu Panda¹, Hemang Gandhi², Jigar Surti¹, Amit Mishra³, Bhavik Champaneri⁴

Affiliations

¹ Department of Cardiac Anesthesia, U.N.Mehta Institute of Cardiology and Research Center, Ahmadabad, Gujarat, India.
² Department of Cardiac Anesthesia, U. N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Asarva, Ahmedabad, Gujarat, India.
³ Department of Pediatric Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India.
⁴ Department of Pediatric Cardiology, U.N. Mehta Institute of Cardiology and Research Center Ahmadabad, Gujarat, India.

Abstract

Cases of coronary to pulmonary artery fistula are seen in patients of pulmonary atresia with ventricular septal defect (VSD). These fistulas are rarely seen in patients of Tetralogy of Fallot (TOF). In this case report, we have presented ICU management of a postoperative case of TOF, with missed diagnosis of left main coronary artery (LMCA) to main pulmonary artery (MPA) fistula.

Keywords: Left main coronary artery; Tetralogy of Fallot; main pulmonary artery; ventricular septal defect.

Publication types

Case Reports

MeSH terms

Anesthetics*
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery
Critical Care
Fistula*
Humans
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / surgery
Tetralogy of Fallot* / diagnostic imaging
Tetralogy of Fallot* / surgery

Substances

Anesthetics