| CASE REPORT |
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| Year : 2011 | Volume
: 1
| Issue : 1 | Page : 115-118 |
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Severe pulmonary artery hypertension following intracardiac repair of tetralogy of Fallot: An unusual finding
Bhupesh Kumar1, Goverdhan D Puri1, Rohit Manoj2, Kirti Gupta3, KS Shyam4
1 Department of Anesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
4 Department of Cardiac Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence Address:
Bhupesh Kumar
Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh - 12
India
DOI: 10.4103/2045-8932.78099 PMID: 22034598
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Although mild increase in pulmonary vascular resistance following intracardiac repair of tetralogy of Fallot is often seen in the early postoperative period, it usually subsides without any sequel. Persistent severe pulmonary artery hypertension after total correction is rare. We report a child with tetralogy of Fallot and Down's syndrome, who developed severe pulmonary hypertension and low cardiac output syndrome following an intracardiac repair, which was resistant to specific pulmonary vasodilators and increasing ionotropes. The post correction echocardiogram suggested an intact ventricular septal defect patch, no residual gradient across the right ventricular outflow tract, with free pulmonary regurgitation. The child had a poor outcome. A postmortem biopsy revealed histopathological signs of pulmonary hypertension. |
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