Re-opening of Surgically Corrected Atrial Septal Defect in a Patient with Tetralogy of Fallot

AUTHORS

Gh Omraani 1 , *

1 Iran

How to Cite: Omraani G. Re-opening of Surgically Corrected Atrial Septal Defect in a Patient with Tetralogy of Fallot, J Kermanshah Univ Med Sci. 2003 ; 6(4):e81167.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 6 (4); e81167
Published Online: March 19, 2003
Article Type: Case Report
Received: October 22, 2002
Accepted: February 20, 2003

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Abstract

Background: Tetralogy of Fallot (TF) is a common congenital disease which to called pantalogy of accompanied with Atrial- Septal Defect(ASD).

Case report: A 7-year old girl with TF who underwent a reconstructive operation but soon after arrival at ICU, developed hypertension and synosis. Due to the failure of supportive measures (treatment) the patient was reported with a preoperative diagnosis of intracardiac shunt next day. Intro operative finding was indicative of reopening of ASD due to ruptured sutures. After the repairment of sutures patients hypotension, hemodynamic disturbances and synosis were subsided and patient was rescued.

Discussion: Unresolved intracardiac shunt or its occurrance as a result of ruptured sutures after FT operation may lead to hypotension or synosis. In such cases the patient must undergo both echocardiography and angiography. When diagnoisis is made the patient must be reoperated urgently.

Keywords

Tetralogy of Fallot Atrial Septal Defect hemodynamic disturbance

© 2003, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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