{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:07:03Z","timestamp":1791425223960,"version":"4.3.3"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>Descending aorta to right atrial (RA) fistula is a rare and distinct clinical entity mimicking patent ductus arteriosus (PDA) and it may lead to rapid development of pulmonary vascular disease. Correct diagnosis and treatment, especially in the presence of other congenital heart defects, is very important. Interventional management is the treatment of choice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>We present a case report of a trisomy 21 infant with atrial and ventricular septal defects and small patent ductus arteriosus (PDA) complicated by the presence of descending aorta to right atrial (RA) fistula with large left to right shunt leading to rapid increase in pulmonary vascular resistance. Transcatheter occlusion of the fistula followed by closure of the PDA with Nit\u2010Occlud coil systems led to decreased pulmonary pressure and resistance permitting successful surgical repair of the patient's intracardiac defects with good outcome over 3\u2009years of follow\u2010up. Descending aorta to RA fistula is a rare and distinct clinical entity mimicking PDA and its correct diagnosis and treatment, especially in the presence of other congenital heart defects, is very important as it may lead to rapid development of pulmonary vascular disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8529","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T07:39:39Z","timestamp":1707809979000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Descending aorta to right atrial fistula: Transcatheter embolization of a very rare anomaly with coils"],"prefix":"10.1002","volume":"12","author":[{"given":"Stefanos","family":"Despotopoulos","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sotiria","family":"Apostolopoulou","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Vagenakis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9708-0523","authenticated-orcid":false,"given":"Meletios","family":"Kanakis","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adult Congenital Heart Surgery Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6355-1932","authenticated-orcid":false,"given":"George","family":"Samanidis","sequence":"additional","affiliation":[{"name":"1<sup>st<\/sup> Department of Cardiac Surgery Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Zachos","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology &amp; Adult Congenital Heart Disease Department General Hospital of Karditsa  Karditsa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasios","family":"Chatziantoniou","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Papagiannis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyridon","family":"Rammos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Tsoutsinos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Center  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2005.07.021"},{"key":"e_1_2_9_3_1","first-page":"603","article-title":"Sudden heart failure due to a ruptured posterior Valsalva sinus aneurysm into the right atrium: feasibility of catheter closure using the Amplatzer duct occluder","volume":"6","author":"Onorato E","year":"2005","journal-title":"Ital Heart J"},{"key":"e_1_2_9_4_1","first-page":"817","article-title":"Aorto\u2010atrial fistula associated with recurrent aortic dissection after ascending aorta replacement","volume":"39","author":"Fujii H","year":"1998","journal-title":"J Cardiovasc Surg"},{"key":"e_1_2_9_5_1","first-page":"234","article-title":"Aortic pseudoaneurysm and aorta\u2010right atrium fistula: a case report","volume":"7","author":"Rognoni A","year":"2006","journal-title":"G Ital Cardiol (Rome)"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2006.00112.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.22.2503"},{"key":"e_1_2_9_8_1","first-page":"142","article-title":"Aorto\u2010right atrial fistula: a complication of prosthetic aortic valve endocarditis. 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