Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-12-01T00:11:02.779Z Has data issue: false hasContentIssue false
  • English
  • Français

Tetralogy of Fallot with coarctation of the aorta

Published online by Cambridge University Press:  19 August 2008

Masaaki Yoshigi ,
Kazuo Momma  and
Yasuharu Imai
Masaaki Yoshigi*
Affiliation:
From the Departments of Pediatric Cardiology and Pediatric Cardiac Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Kazuo Momma
Affiliation:
From the Departments of Pediatric Cardiology and Pediatric Cardiac Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Yasuharu Imai
Affiliation:
From the Departments of Pediatric Cardiology and Pediatric Cardiac Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
*
Dr. Masaaki Yoshigi, Department of Pediatric Cardiology, Heart Institute of Japan, Tokyo Women's Medical College, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162 Japan. Tel. 03-3353-8111.
Get access Rights & Permissions [Opens in a new window]

Summary

We report a two-year-old boy with a rare combination of tetralogy of Fallot and aortic coarctation. The obstruction in this patient had an hourglass-like configuration, with a pressure difference of 15 mm Hg. There was a right aortic arch, bilateral brachiocephalic arteries, and persistent left superior caval vein. Percutaneous transluminal balloon angioplasty was performed to lower the resistance to the left ventricular ejection, considered a risk factor for subsequent corrective surgery of tetralogy. Six months later, he underwent combined repair of tetralogy of Fallot and coarctectomy with end-to-end anastomosis, thus avoiding the future potential for restenosis. During surgery, a ligament was found extending from the right subclavian artery to the distal side of the coarctation. The perioperative course was uneventful, indicating the success of the preoperative balloon angioplasty. We speculate that the embryogenesis of the coarctation could be related to an abnormal involution of the aortic arches.

Keywords

Tetraalogy of Fallotaortic coarctationright aortic archcongenital heart disease
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 1 , January 1994 , pp. 75 - 78
Copyright
Copyright © Cambridge University Press 1994

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

Rudolph, AM, Heymann, MA, Spitznas, U.Hemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol 1972; 30: 514–525.CrossRefGoogle ScholarPubMed
Keith, JD.Heart Disease in Infancy and Childhood, 3rd edition. Macmillan, New York, 1978, pp 736–738.Google Scholar
Bullaboy, CA, Derkac, WM, Johnson, DH, Jennings, RB.Tetralogy of Fallor and coarctation of the aorta: successful repair in an infant. Ann Thorac Surg 1984; 38: 400–401.CrossRefGoogle Scholar
Campbell, M, Polani, PE.The etiology of coarctation of the aorta. Lancet 1961; 4: 463–468.Google Scholar
Gunthard, J, Murdison, KA, Wagner, HR, Norwood, WI.Tetralogy of Fallot and coarctation of the aorta; a rare combination and its clinical implication. Pediatr Cardiol 1992; 13: 37–40.Google Scholar
Miyata, Y, Tsuchioka, H, Abe, T, Shimizu, T, Ishihara, T.A case report of tetralogy of Fallot with coarctarion of the thoracic aorta and atrial septal defect; consideration of rare incidence of this complication and surgical indication. Nippon Kyobu Geka Gak 1978; 26: 200–205. [Japanese and English abstracts]Google Scholar
Rey, C, Coeurderoy, A, Dupuis, C.Coarctation of the aorta and tetralogy of Fallot; two cases. Arch Mal Coeur 1984; 77: 526– 533.Google Scholar
Shinebourne, EA, Elseed, AM.Relation between fetal flow patterns, coarctation of the aorta, and pulmonary blood flow. Br Heart J 1974; 36: 492–498.Google Scholar
Lock, JE, Bass, JL, Amplats, K, Fuhrman, BP, Castanñeda, W.Balloon dilation angioplasry of aortic coarctations in infants and children. Circulation 1983; 68: 109–116.CrossRefGoogle ScholarPubMed