Title |
An uncommon variant of cyanotic congenital heart disease in a young adult female: a rare case of right pulmonary artery to left atrial fistula (PALAF)
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Published in |
BMC Research Notes, October 2015
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DOI | 10.1186/s13104-015-1593-y |
Pubmed ID | |
Authors |
Ram Sundar Twayana, Sanjaya Humagain, Rajendra Koju, Kriti Subas Joshi, Robin Man Karmarcharya, Sajana KC, Navaraj Poudel |
Abstract |
Cyanotic congenital heart disease is not a rare entity, but fistula between the right pulmonary artery and the left atrium is an uncommon vascular anomaly. Although it is a real challenge to diagnose the case, detailed clinical evaluation and selective investigations are keys for diagnosis, and surgical intervention is still considered the best treatment option. A 19 years old girl from the remote village of Nepal presented with the history of exercise intolerance associated with cyanosis and clubbing of the extremities. We diagnosed her as a case of right pulmonary artery to left atrial fistula, a rare variant of pulmonary arteriovenous malformation. She underwent successful surgical correction of the anomaly under cardiopulmonary bypass surgery. Direct communication between the right pulmonary artery and the left atrium is a rare cyanotic congenital heart disease, which is diagnosed late and often associated with the atrial septal defect. The best treatment available is surgical correction. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 14 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 3 | 21% |
Researcher | 2 | 14% |
Student > Master | 2 | 14% |
Other | 1 | 7% |
Professor | 1 | 7% |
Other | 3 | 21% |
Unknown | 2 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 50% |
Nursing and Health Professions | 2 | 14% |
Agricultural and Biological Sciences | 1 | 7% |
Environmental Science | 1 | 7% |
Unknown | 3 | 21% |