Article ID Journal Published Year Pages File Type
8668690 Journal of the Egyptian Society of Cardio-Thoracic Surgery 2016 6 Pages PDF
Abstract
A female patient, 4 years old having Down syndrome, presented with dyspnea on exertion, repeated chest infections and precordial machinery murmur. Echocardiography, multislice CT scan (MSCT) and angiography defined the presence of an abnormal artery arising from the descending thoracic aorta and ends in the posterior segmental tributary of the left inferior pulmonary vein (LIPV). It resulted in a machinery murmur on auscultation, cardiomegaly and heart failure. A trial of trans-catheter occlusion of the arterial fistula failed. The patient was referred for surgery. Left thoracotomy and double ligation and division of the artery were done. The patient had a smooth postoperative course. The machinery murmur disappeared and the antifailure treatment was gradually withdrawn.
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Health Sciences Medicine and Dentistry Cardiology and Cardiovascular Medicine
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