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

doi:10.1007/BF00788228

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 journal › Article › peer-review

15 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 language	English (US)
Pages (from-to)	37-40
Number of pages	4
Journal	Pediatric Cardiology
Volume	13
Issue number	1
DOIs	https://doi.org/10.1007/BF00788228
State	Published - Jan 1 1992
Externally published	Yes

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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10.1007/BF00788228

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title = "Tetralogy of fallot and coarctation of the aorta: A rare combination and its clinical implications",

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.",

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T2 - A rare combination and its clinical implications

AU - Günthard, Joëlle

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AU - Wagner, Henry R.

AU - Norwood, William I.

PY - 1992/1/1

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N2 - 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.

AB - 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.

KW - Aortic coarctation

KW - Congenital heart disease

KW - Corrective surgery

KW - Neonatal cardiac surgery

KW - Tetralogy of Fallot

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

Abstract

Keywords

ASJC Scopus subject areas

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