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Vol 18, No 2 (2023)
Case report
Published online: 2022-08-05

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A rare case of coexistence of a patent ductus arteriosus and a congenital carotid arteriovenous fistula in a 7-year-old girl

Agnieszka Skierska1, Miłosz Zbroszczyk23, Zbigniew Olczak3, Anna Szydłowska1, Olga Wilk1, Katarzyna Gruszczyńska4, Andrzej Szydłowski1, Jacek Kusa5
DOI: 10.5603/FC.a2022.0050
Folia Cardiologica 2023;18(2):87-90.

Abstract

A 7-year-old girl, who underwent a hemodynamically significant patent ductus arteriosus closure at the age of 3 months, was diagnosed with a systolic gradient in the aortic lumen of approximately 40 mm Hg in Doppler examination, caused by prominence of the occluder. Additionally, an increase in the left ventricle and pulmonary artery sizes were established. Due to unclear symptoms, cardiac catheterization was performed, concluding that the implant was correctly positioned and did not obstruct blood flow, yet revealing features of increased left-right flow and pulmonary hypertension, suggesting the presence of an intracranial arteriovenous fistula. The performed computed tomography excluded a cerebral fistula and revealed an abnormal connection between the branch of the left external carotid artery and the left internal jugular vein. The fistula was interventionally closed with coils and no residual leakage was observed after the procedure. The girl was discharged home in a good condition.

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