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Pulmonary atresia with ventricular septal defect and coronary artery fistula: a late presentation.
  1. W T Vigneswaran,
  2. J C Pollock
  1. Ibn Al Bitar Hospital, Baghdad, Iraq.


    A 41 year old man presented with cyanosis and progressive shortness of breath. Cardiac angiography showed absent central pulmonary arteries, ventricular septal defect, and a fistula between the left coronary artery and pulmonary artery. Most of the blood reaching the lungs came through this fistula. An attempt at surgical palliation was unsuccessful.

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