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Case Reports in Cardiology
Volume 2015, Article ID 371925, 3 pages
http://dx.doi.org/10.1155/2015/371925
Case Report

Aortopulmonary Fistula after Multiple Pulmonary Artery Stenting and Dilatation for Postarterial Switch Supravalvular Stenosis

1Division of Cardiology, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
2Division of Cardiology, Hôpital du Sacré-Coeur de Montréal, Montreal, QC, Canada H4J 1C5
3Emergency Institute for Cardiovascular Diseases “Prof. C.C. Iliescu”, 022328 Bucharest, Romania
4Division of Pediatric Cardiology, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium
5Division of Cardiac Surgery, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium

Received 23 March 2015; Accepted 3 May 2015

Academic Editor: Ming-Ren Chen

Copyright © 2015 Maude Pagé et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of iatrogenic aortopulmonary fistula following pulmonary artery (PA) stenting late after arterial switch operation (ASO) for D-transposition of the great arteries (D-TGA), an unusual complication that may be encountered more frequently in contemporary adult cardiology clinics. The diagnosis should be sought in the face of unexplained heart failure in patients who underwent ASO and subsequent PA angioplasty. Treatment should be instituted in a timely fashion, and options include surgical correction or implantation of a duct occluder or covered stent.