Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2025-01-04T05:05:28.239Z Has data issue: false hasContentIssue false
  • English
  • Français

Cyanosis due to diastolic right-to-left shunting across a ventricular septal defect in a patient with repaired tetralogy of Fallot and pulmonary atresia

Published online by Cambridge University Press:  19 August 2008

J. D. R. Thomson ,
J. Forster  and
J. L. Gibbs
J. D. R. Thomson*
Affiliation:
Yorkshire Heart Centre, Paediatric Cardiac Unit, Leeds General Infirmary, Leeds, UK
J. Forster
Affiliation:
Yorkshire Heart Centre, Paediatric Cardiac Unit, Leeds General Infirmary, Leeds, UK
J. L. Gibbs
Affiliation:
Yorkshire Heart Centre, Paediatric Cardiac Unit, Leeds General Infirmary, Leeds, UK
*
Dr J. D. R. Thomson, Yorkshire Heart Centre, Paediatric Cardiac Unit, E Floor, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. Tel: +44 (0)113 243 2799 (direct line 392 5757); Fax: +44 (0)113 3925784; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Cyanosis as a result of right-to-left shunting across a ventricular septal defect is commonly encountered in patients with congenital heart disease when systolic pressure in the right ventricle exceeds that in the left ventricle. Reported is the case of a child who remained cyanosed after surgical correction of pulmonary atresia despite right ventricular systolic pressure being lower than left ventricular pressure. Colour-flow Doppler showed a residual ventricular septal defect, with right-to-left shunting in diastole alone.

Keywords

Ventricular septal defectcyanosis
Type
Brief Reports
Information
Cardiology in the Young , Volume 9 , Issue 5 , September 1999 , pp. 506 - 508
Copyright
Copyright © Cambridge University Press 1999

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.Levin, AR, Spach, MS, Canet, RV, Boineau, JP, Capp, MP, Jain, V, Barr, RC. Intracardiac pressure flow dynamics in isolated ventricular septal defects. Circulation 1967; 35: 430–441.CrossRefGoogle ScholarPubMed