Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-27T23:03:01.806Z Has data issue: false hasContentIssue false

Coarctation of the aorta in the setting of tetralogy of Fallot: an uncommon cause of myocardial dysfunction

Published online by Cambridge University Press:  02 October 2012

Glen J. Iannucci*
Affiliation:
Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Sibley Heart Center, Emory University School of Medicine, Atlanta, United States of America
William T. Mahle
Affiliation:
Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Sibley Heart Center, Emory University School of Medicine, Atlanta, United States of America
Martha L. Clabby
Affiliation:
Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Sibley Heart Center, Emory University School of Medicine, Atlanta, United States of America
*
Correspondence to: Dr G. J. Iannucci, MD, Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Children's Healthcare of Atlanta, Sibley Heart Center, Emory University School of Medicine, 1405 Clifton Road, NE, Atlanta, GA 30322-1062, United States of America. Tel: +1 404 256 2593; Fax: +1 770 488 9013; E-mail: iannuccig@kidsheart.com

Abstract

The combination of both right and left heart obstruction has only rarely been described in the medical literature. We present three cases of coarctation of the aorta in patients with variants of tetralogy of Fallot and hypothesise that this condition may be more common than previously suspected and could represent a hidden cause of morbidity in patients with pulmonary atresia/ventricular septal defect.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Yip, RC, Deekollu, D, Arnold, R. Coarctation co-existing with tetralogy of Fallot and pulmonary atresia. Cardiol Young 2001; 11: 8890.Google Scholar
2. Gunthard, J, Murdison, KA, Wagner, HR, et al. Tetralogy of Fallot and coarctation of the aorta: a rare combination and its clinical implications. Pediatr Cardiol 1992; 13: 3740.Google Scholar
3. Freedom, RM, Benson, LN, Mikailian, H. Aortic coarctation in an infant with tetralogy and pulmonary atresia. Cardiol Young 2005; 15: 667668.Google Scholar
4. Elami, A, Rein, AJ, Preminger, TJ, et al. Tetralogy of Fallot, absent pulmonary valve, partial anomalous pulmonary venous return and coarctation of the aorta. Int J Cardiol 1995; 52: 203206.Google Scholar
5. de Santana, RC, Guerra, VC, Ikari, NM, et al. Tetralogy of Fallot and aortic coarctation. A rare association. Arq Bras Cardiol 1999; 72: 7984.Google Scholar
6. Bullaboy, CA, Derkac, WM, Johnson, DH, et al. Tetralogy of Fallot and coarctation of the aorta: successful repair in an infant. Ann Thorac Surg 1984; 38: 400401.Google Scholar
7. Rey, C, Coeurderoy, A, Dupuis, C. Coarctation of the aorta and Fallot's tetralogy. Apropos of 2 cases. Arch Mal Coeur Vaiss 1984; 77: 526533.Google Scholar
8. Miyata, Y, Tsuchioka, H, Abe, T, et al. A case report of tetralogy of Fallot with coarctation of the thoracic aorta and atrial septal defect: consideration of rare incidence of this complication and surgical indication (author's transl). Nippon Kyobu Geka Gakkai Zasshi – J Jpn Assoc Thorac Surg 1978; 26: 200205.Google ScholarPubMed
9. Momma, K. Tetralogy of Fallot, absent pulmonary valve and coarctation of the aorta. Int J Cardiol 1996; 54: 287.Google Scholar
10. Rudolph, A. Congenital Dieases of the Heart: Clinical–Physiological Considerations, 3rd edn. John Wiley & Sons, Inc., Hoboken, New Jersey, USA, 2009: 294.Google Scholar