Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Apr 26, 2021; 13(4): 111-116
Published online Apr 26, 2021. doi: 10.4330/wjc.v13.i4.111
Device closure of fistula from left lower pulmonary artery to left atrium using a vascular plug: A case report
Rudrapratap Mahapatra, Dibyasundar Mahanta, Jogendra Singh, Debasis Acharya, Ramachandra Barik
Rudrapratap Mahapatra, Department of Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar Pin-751019, Odisha, India
Dibyasundar Mahanta, Jogendra Singh, Debasis Acharya, Ramachandra Barik, Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar Pin-751019, Odisha, India
Author contributions: Barik R planned, performed the device closure and wrote the manuscript; Mahapatra R was the cardiothoracic surgeon who suggested device closure and supported editing of the manuscript; Mahanta D and Singh J supported the intervention as a fellow in training; Acharya D assisted in the planning of the case management and helped during the procedure.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors have no conflicts of interests or financial disclosures relevant to this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ramachandra Barik, DNB, MD, Academic Research, Reader (Associate Professor), Department of Cardiology, All India Institute of Medical Sciences, Sijua Patrapada, Bhubaneswar Pin-751019, Odisha, India. cardioramachandra@gmail.com
Received: December 13, 2020
Peer-review started: December 13, 2020
First decision: February 28, 2021
Revised: March 1, 2021
Accepted: April 14, 2021
Article in press: April 14, 2021
Published online: April 26, 2021
Processing time: 129 Days and 0.8 Hours
Core Tip

Core Tip: Pulmonary artery-to-left atrial fistula is a variant of pulmonary arteriovenous fistula and is a developmental anomaly. Left pulmonary artery-to-left atrial fistula is rare. We report the case of a 40-year-old male who presented with effort intolerance, central cyanosis, and recurrent seizures. He had a large and highly tortuous left pulmonary artery-to-left atrial fistula associated with a large aneurysmal sac in the course. Catheter-based closure was performed using a vascular plug.