Tetralogy of Fallot and coarctation of the aorta: a rare combination and its clinical implications

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 cor...

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Bibliographic Details
Published in:Pediatric cardiology 1992-01, Vol.13 (1), p.37-40
Main Authors: Günthard, J, Murdison, K A, Wagner, H R, Norwood, Jr, W I
Format: Article
Language:English
Subjects:
Aortic Coarctation - complications
Aortic Coarctation - surgery
Cardiomegaly - complications
Heart Failure - complications
Humans
Hypertension, Pulmonary - complications
Infant, Newborn
Male
Tetralogy of Fallot - complications
Tetralogy of Fallot - surgery
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Summary: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.
ISSN:0172-0643
1432-1971
DOI:10.1007/BF00788228