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Coarctation co-existing with tetralogy of Fallot and pulmonary atresia

Published online by Cambridge University Press:  01 July 2011

R.C.W Yip
Affiliation:
Department of Cardiology, Alder Hey Hospital, Royal Liverpool Children's Hospital, Liverpool, UK
D. Deekollu
Affiliation:
Department of Cardiology, Alder Hey Hospital, Royal Liverpool Children's Hospital, Liverpool, UK
Robert Arnold*
Affiliation:
Department of Cardiology, Alder Hey Hospital, Royal Liverpool Children's Hospital, Liverpool, UK
*
Correspondence to: Dr. Robert Arnold, Consultant Paediatric Cardiologist, Alder Hey Hospital, Eaton Road, Liverpool L12 2AP, UK. Tel: 0151 2525710; Fax: 0151 2525643

Abstract

We describe the finding of unsuspected aortic coarctation, discovered by catheterisation at 4 months, in a neonate first daignosed on the fourth day of life as having tetralogy of Fallot with pulmonary atresia and major aorto-to-pulmonary collateral arteries. This previously unreported combination contravenes the established theory of patterns of flow during fetal life, and presented difficult issues in clinical management.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2001

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References

1.Rudolph, AM, Heyman, MA, Spitznas, U. Haemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol 1972; 30: 514525.Google Scholar
2.Shinebourne, EA, Elseed, AM. Relation between fetal flow patterns, coarctation of the aorta and pulmonary blood flow. Br Heart J 1974;36; 492498.CrossRefGoogle ScholarPubMed
3.Rabinovitch, M, Herrera-deLeon, V, Casteneda, A, Reid, L. Growth and development of the pulmonary vascular bed in patients with Tetralogy of Fallot with or without Pulmonary Atresia. Circulation 1981;64:6; 12341248CrossRefGoogle ScholarPubMed
4.Wielenga, G, Dankmeijer, J, Coarctation of the aorta. J. Path Bact 1968; 265274Google Scholar
5.Freedom, R, Silver, M, Miyamura, H, Tricuspid and pulmonary atresia with coarctation of the aorta: a rare combination possibly explained by persistence of the fifth aortic arch with a systemic- to- pulmonary arterial connection. Int J Cardiol 1989: 24: 241245.CrossRefGoogle ScholarPubMed
6.Yoshigi, M, Momma, K, Yasuharu Imai, K. Tetralogy of Fallot with coarctation of the aorta. Cardiol Young 1994; 4: 7578Google Scholar
7.Bullaboy, ChA, Derkac, WN, Johnson, DH, Jennings, RB. Tetralogy of Fallot and coarctation of the aorta: successful repair in an infant. Ann Thorac Surg 1984; 38: 400401Google Scholar
8.Gronemeyer, PS, deMello, DE. Takayasu's disease with aneurysm of right common iliac artery and iliocaval fistula in a young infant: case report and review of the literature. Pediatrics 1982;69:626631Google Scholar