Infracardiac total anomalous pulmonary venous connection in tetralogy of Fallot with decreased pulmonary flow and masked pulmonary venous obstruction: report of one case
Journal
International Journal of Cardiology
Journal Volume
47
Journal Issue
1
Pages
81-84
Date Issued
1994
Author(s)
Abstract
We describe an 8-month-old male infant, who received a rerouting procedure for infracardiac total anomalous pulmonary venous connection and a 4-mm Gore-Tex central shunt for tetralogy of Fallot with pulmonary atresia. The masking effect of the pulmonary outflow in tetralogy of Fallot on the pulmonary venous obstruction in infracardiac total anomalous pulmonary venous connection is discussed. Preoperative recognition of this rare association is warranted, as palliative surgery alone may be disastrous. In addition, juxtaductal pulmonary artery coarctation in tetralogy of Fallot with pulmonary atresia may play a role in camouflaging the pulmonary venous obstruction in this case. Unmasking pulmonary venous obstruction by oral prostaglandin and augmenting pulmonary blood flow by a Gore-Tex shunt, pari passu, did harm this patient. ? 1994.
Subjects
Gore-Tex central shunt; Infracardiac total anomalous pulmonary venous connection; Juxtaductal pulmonary artery coarctation; Prostaglandin; Pulmonary venous obstruction; Tetralogy of Fallot
SDGs
Other Subjects
politef; prostaglandin; article; case report; fallot tetralogy; human; infant; lung vein drainage anomaly; male; oral drug administration; priority journal; pulmonary vein obstruction; Arteriovenous Shunt, Surgical; Case Report; Cineangiography; Coronary Vessel Anomalies; Ductus Arteriosus, Patent; Echocardiography; Fatal Outcome; Human; Infant; Male; Pulmonary Veins; Pulmonary Veno-Occlusive Disease; Tetralogy of Fallot
Type
journal article