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TRAUMATIC PULMONARY ARTERY LEFT ATRIAL FISTULA - UNUSUAL CASE OF CYANOSIS IN AN ADULT AMERICAN HEART JOURNAL ORLICK, A. E., Hultgren, H. N., Stoner, J. D., Barry, W. H., Wexler, L., DONG, E. V. 1979; 98 (3): 366-370

Abstract

Eighteen months after sustaining a stab wound to the left upper chest, a 59-year-old man presented with cyanosis and extertional dyspnea. Arterial desaturation due to a central 22 per cent right-to-left shunt was present. A selective pulmonary arteriogram demonstrated a fistula between the main pulmonary artery and the left atrium. At operation the fistula was closed. A laceration of the pulmonic valve and healed pericarditis were present. Marked symptomatic improvement followed the operation, but a murmur of pulmonic valvular regurgitation persisted. The fistula and laceration of the pulmonic valve were probably traumatic in origin.

View details for Web of Science ID A1979HK45300015

View details for PubMedID 474383