PULMONARY ATRESIA DEVELOPING AFTER A SHUNT OPERATION FOR FALLOT'S TETRALOGY
Open Access
- 1 September 1961
- Vol. 23 (5), 556-560
- https://doi.org/10.1136/hrt.23.5.556
Abstract
Three patients with Fallot''s tetralogy are described, in whom pulmonary atresia developed from 5 to 10 years after an anastomotic operation. Before operation, the pulmonary trunk had been catheterized in all 3. Later, during open-heart surgery, a valvular atresia was found in the 1st and an infundibular obstruction was demonstrated at angiocardiography in the other 2. The murmur disappeared in 2 of the patients and diminished in the 3rd. In our opinion the infundibular stenosis will eventually be able to close the outlet of the right ventricle and thereby give rise to atresia of the pulmonary valves. Survival after such a closure is only possible when there is an adequate collateral pulmonary circulation.Keywords
This publication has 6 references indexed in Scilit:
- Auscultatory and Phonocardiographic Assessment of Fallot's TetralogyCirculation, 1960
- The Cyanotic (Syncopal) Attack in Fallot's TetralogyBMJ, 1959
- Late Results of Operations for Fallot's TetralogyBMJ, 1958
- PULMONARY HYPERTENSION WITH SPECIAL REFERENCE TO THE VASOCONSTRICTIVE FACTORHeart, 1958
- Attacks of deeper cyanosis and loss of consciousness (syncope) in Fallot's tetralogy.1958
- Pulmonary atresia and the collateral circulation to the lungs.1950