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  • Title: Total right ventricular dependent coronary circulation in pulmonary atresia with intact ventricular septum.
    Author: Lajos P, Love J, Salim MA, Wang W, Cardarelli MG.
    Journal: Ann Thorac Surg; 2004 Mar; 77(3):1087-8. PubMed ID: 14992939.
    Abstract:
    This report describes the case of a full-term gestational female with a prenatal diagnosis of pulmonary atresia with intact ventricular septum. Cardiac ultrasound at birth confirmed the diagnosis with no evidence of coronary artery fistulas. The patient died 6 hours after a central aortic to pulmonary artery shunt had been created with bypass support. Postmortem examination showed a coronary artery fistula rising from the right ventricle and a complete absence of both coronary ostia. This rare finding has been reported sporadically in the English literature.
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