Tetralogy of Fallot with Pulmonary Arteriovenous Fistula: A Case Report.
- Author:
Sang Ik KIM
1
;
Kook Yang PARK
;
Chul Hyun PARK
;
Jung Chul KIM
;
Sung Yeol HYUN
;
Jae Woong LEE
;
Hayun Woo LEE
;
Sung Jae LEE
;
Jong Ho KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery.
- Publication Type:Case Report
- Keywords:
Pulmonary arteriovenous fistula;
Tetralogy of Fallot;
Pulmonary atresia
- MeSH:
Arteriovenous Fistula*;
Follow-Up Studies;
Heart Diseases;
Humans;
Infant;
Liver Diseases;
Lung;
Male;
Oxygen;
Perfusion;
Pulmonary Atresia;
Tetralogy of Fallot*;
Ventilator Weaning
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2000;33(3):257-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary arteriovenous fistula can occur in a variety of clinical situations including liver diseases, infections, metastatic carcinomas, systemic disorders, and after the palliation of congenital heart diseases. A 72-day-old male infant with Tetralogy of Fallot and pulmonary atresia underwent surgical correction without difficulty. However, ventilator weaning in the ICU failed initially because of an unexplained postoperative hypoxemia(FiO2: 0.8, PaO2: 40 mmHg, SaO2: 80~90%). Postoperative follow-up lung perfusin scan at postoperative 15 days showed right-to-left shunt(33.6%) and ventilator weaning was performed on the 20th day after the operation (FiO2: 0.4, PaO2, 50mmHg, SaO2: 86.9%). Arterial oxygen saturation under room air was 80~85% at 7 months postoperatively. One and half year follow-up lung perfusion scan showed decreased amount of right-to-left shunt (11.2%). We report a case with a review of the literatures.
