Congential extracardiac shunts with tetralogy of fallot |
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| Authors: | Richard R. Liberthson M.D. Stephen W. Miller M.D. Francis Drew Igor Palacios Jang Singh |
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| Affiliation: | (1) Department of Medicine, Cardiac Unit, Massachusetts General Hospital and Harvard Medical School, Fruit Street, Boston, Massachusetts, USA;(2) Department of Pediatrics, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA;(3) Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA;(4) Department of Cardiology, University Hospital, Boston, Massachusetts, USA;(5) Department of Medicine, St. Vincent Hospital, Worcester, Massachusetts, USA |
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| Abstract: | Congenital extracardiac shunts in tetralogy of Fallot may significantly alter the history and clinical findings and also have significant management implications. An unusual variant of severe tetralogy of Fallot in a 54-year-old man enabled long survival with minimal symptoms. The patient had pulmonary valvular and infundibular stenosis, a large ventricular septal defect, an overriding aorta, and large volume systemic-to-pulmonary artery shunting from his right internal mammary and accessory internal mammary arteries to his right pulmonary artery. |
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| Keywords: | Heart, abnormalities Tetralogy of Fallot Angiocardiography |
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