Iatrogenic main pulmonary artery-left atrial fistula in a child

Transcatheter closure of direct communication of main pulmonary artery to left atrium using muscular VSD occluder in an infant

“…To our knowledge, only two cases of direct main PA to LA communication have been reported to date and neither was congenital in origin. One was developed in a post‐traumatic 54‐year‐old male patient [1], and the other was reported as a complication of surgical closure of VSD and PA debanding in a 14‐month infant [2]. Several therapeutic modalities have been reported including mostly surgical in the earlier era and various transcatheter occlusion techniques and devices in the recent years [3–7].…”