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Ann Pediatr Cardiol. 2019 Sep-Dec;12(3):321-324. doi: 10.4103/apc.APC_155_18.

Closure of right pulmonary artery to left atrium fistula by duct occluder device.

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Department of Pediatric Cardiology, Lady Reading Hospital, Peshawar, Pakistan.
Department of Cardiology, Khyber Teaching Hospital, Peshawar, Pakistan.
Department of Pediatric Cardiology, Hayatabad Medical Complex, Peshawar, Pakistan.
Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan.


We report the successful transcatheter closure of the right pulmonary artery fistula to the left atrium in a 4-year-old boy, who had presented with cyanosis and easy fatigability, identified after two-dimensional echocardiogram with bubble contrast study, computed tomography (CT) angiography, and cardiac catheterization. The fistula was successfully closed by a transcatheter approach using an 18/16 duct occluder device. There was marked improvement clinically and no complication on 2-months follow-up.


Duct occluder device closure; left atrium; right pulmonary artery fistula; transcatheter

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