Abstract

Mini‐AbstractPulmonary atresia with ventricular septal defect accounts for about 2% of all congenital heart diseases. Aortopulmonary collaterals are the usual source of pulmonary blood flow. Coronary–pulmonary artery fistula is a rare and sole source of pulmonary blood flow. We are reporting a case of a 6‐year‐old girl who presented with severe cyanosis, clubbing, and effort intolerance. Echocardiography demonstrated a large subaortic ventricular septal defect and pulmonary atresia with confluent pulmonary arteries. It also revealed the presence of a coronary–pulmonary artery fistula along with a giant coronary artery aneurysm. These findings were confirmed by an aortic root angiogram. She was referred for intra‐ cardiac repair.

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