Tetralogy of fallot and coarctation of the aorta: A rare combination and its clinical implications

Joëlle Günthard, Kenneth A. Murdison, Henry R. Wagner, William I. Norwood

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

A neonate with tetralogy of Fallot and aortic coarctation is described. The clinical course was remarkable, with early congestive heart failure followed by rapidly progressive left ventricular myocardial thickening and the presentation of hypercyanotic spells. Primary repair of tetralogy without correction of coarctation was attempted unsuccessfully at 1 month of age. Death followed postoperative bradycardia, hypotension, and low cardiac output. Fetal and neonatal hemodynamics and the clinical implication of this rare combination of defects are discussed. Initial surgical intervention should relieve left-sided obstruction.

Original languageEnglish (US)
Pages (from-to)37-40
Number of pages4
JournalPediatric Cardiology
Volume13
Issue number1
DOIs
StatePublished - Jan 1 1992
Externally publishedYes

Keywords

  • Aortic coarctation
  • Congenital heart disease
  • Corrective surgery
  • Neonatal cardiac surgery
  • Tetralogy of Fallot

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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