Puram Snigdha, Kandula Ashrith, Saul David, Nikam Rahul, Pizarro Christian
Department of Medical Imaging, A. I. DuPont Hospital for Children, Wilmington, DE, USA.
Department of Surgery, Division of Pediatric Cardiothoracic Surgery, A. I. DuPont Hospital for Children, Wilmington, DE, USA.
Ann Pediatr Cardiol. 2022 Mar-Apr;15(2):225-227. doi: 10.4103/apc.apc_251_20. Epub 2022 Aug 19.
Acquired aortopulmonary fistula (APF) in the setting of repaired congenital heart disease is extremely rare but potentially fatal, so timely diagnosis and treatment are critical. We present a case of an 8-year-old female with a history of complex Taussig-Bing anomaly, who underwent an arterial switch procedure with LeCompte maneuver and ventricular septal defect closure early in life. The patient developed neopulmonary stenosis and branch pulmonary artery (PA) stenosis, for which she underwent patch augmentation and balloon dilatation of the left PA. The patient presented with a fistula between the ascending aorta and the left branch PA, confirmed by echocardiography and cardiac catheterization. She underwent repair of the APF with a homograft patch reconstruction of the ascending aorta.
先天性心脏病修复术后获得性主肺动脉瘘（APF）极为罕见，但可能致命，因此及时诊断和治疗至关重要。我们报告一例8岁女性病例，其有复杂的陶西格-宾畸形病史，早年接受了动脉调转术加LeCompte操作及室间隔缺损修补术。该患者出现了新的肺动脉狭窄和分支肺动脉（PA）狭窄，为此她接受了补片扩大术和左肺动脉球囊扩张术。患者出现升主动脉与左分支PA之间的瘘，经超声心动图和心导管检查确诊。她接受了APF修复术，采用同种异体移植物补片重建升主动脉。
