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  • Title: Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery.
    Author: Alphonso N, Anagnostopoulos PV, Azakie A, Karl TR.
    Journal: Eur J Cardiothorac Surg; 2006 Aug; 30(2):397-9. PubMed ID: 16829110.
    Abstract:
    A patient with preoperative pulmonary hypertension and a large left to right intracardiac shunt underwent surgical correction of a complex cardiac anomaly and required extracorporeal life support for unexplained ventricular dysfunction following the procedure. Following recovery, a fistulous connection between the right coronary artery and main pulmonary artery was demonstrated. Implications and management strategies of unsuspected coronary fistula in pediatric heart surgery are discussed.
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