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(Circulation. 1965;31:762.)
© 1965 American Heart Association, Inc.

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Massive Pulmonary Arteriovenous Fistula in the Newborn

A Correctable Form of "Cyanotic Heart Disease;" An Additional Cause of Cyanosis with Left Axis Deviation

ROBERT J. HALL MC¹; WILLIAM P. NELSON MC¹; HU A. BLAKE MC¹; JAMES P. GEIGER MC¹

¹ From the Cardiac and Cardiovascular Surgical Services, Brooke General Hospital, Fort Sam Houston, Texas.

A case of massive pulmonary arteriovenous fistula, diagnosed and treated in the first week of life is reported. A concept of severely altered intrauterine and neonatal pulmonary blood flow is proposed, with consequent left ventricular overload manifested electrocardiographically by left axis deviation and left ventricular preponderance. Consideration of this malformation in seriously ill cyanotic infants with a radiographic density and these electrocardiographic changes is essential, since this is a surgically curable lesion.