Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T18:23:20.973Z Has data issue: false hasContentIssue false
  • English
  • Français

Tetralogy of Fallot with double aortic arch

Published online by Cambridge University Press:  26 July 2011

Andrew Robert Harper ,
Monica Dai  and
Rashmi M. Prabhatha
Andrew Robert Harper*
Affiliation:
Institute of Genetic Medicine, Newcastle University, Institute of Medical Sciences, Newcastle Upon Tyne, United Kingdom
Monica Dai
Affiliation:
Department of Medical Sciences, Queen's University, Kingston, Ontario, Canada
Rashmi M. Prabhatha
Affiliation:
Paediatric Cardiothoracic Surgery, Narayana Hrudayalaya, Bangalore, Karnataka, India
*
Correspondence to: A. R. Harper, Institute of Genetic Medicine, Newcastle University, Institute of Medical Sciences, Newcastle Upon Tyne, NE1 3BZ, United Kingdom. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

An 8 year old girl presents with cyanosis, exertional dyspnoea, and palpitation only. X-ray displayed a typical coeur en sabot heart and auscultsation revealed a harsh ejection systolic murmur. Echocardiography confirmed Tetralogy of Fallot (McGoon ratio 1.3) and computed tomography was requested for further investigation of pulmonary stenosis. A vascular ring was detected, presenting asymptomatically and previously missed through echocardiography. The patient underwent a double-stage repair with ligation of an aortic arch. Recovery was unremarkable. This case highlights the limitations of echocardiography in detection of extra-cardiac anomalies.

Keywords

Asymptomatic double aortic archvascular ringTetralogy of Fallotpaediatric congenital heart disease
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 21 , Issue 6 , 28 October 2011 , pp. 695 - 696
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)