Right pulmonary artery-Left atrium fistula: An institutional experience of seven cases over two decades
Shaikh Mohammed Husain1, Mohammed Wahaj Ali1, Yogi Sundararao Chaganti1
1Department of CardioThoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi, Andhra Pradesh, India.
Background:
We report a series of 7 patients of right pulmonary artery to left atrium fistula operated in our institute between 1998 and 2019.
Aim Of The Study:
To present a comprehensive management of right pulmonary artery to left atrium fistula in an organised manner with excellent results, even in adult population.
Methods:
Seven consecutive patients of RPA to LA fistula were investigated with appropriate diagnostic modalities and underwent successful surgical correction.
Results:
Post procedure the oxygen saturation improved to >95% in all the patients. There were no early or late post-operative deaths. All patients underwent TTE at every follow up.
Conclusion:
Appropriate use of imaging techniques helps in exact diagnosis with anatomical delineation which decides the further line of management in relieving the symptoms and prevention of complications of the fistula.


