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Charles A. Bullaboy
Wayne M. Derkac
David H. Johnson
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Ann Thorac Surg 1984;38:400-401
© 1984 The Society of Thoracic Surgeons

Articles

Tetralogy of Fallot and Coarctation of the Aorta: Successful Repair in an Infant

Charles A. Bullaboy, M.D.*, Wayne M. Derkac, M.D., David H. Johnson, M.D., Rufus B. Jennings, Jr., M.D.

Departments of Pediatrics and Surgery, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA

Accepted for publication January 30, 1984.

* Address reprint requests to Dr. Bullaboy, Pediatric Cardiology, 800 W Olney Rd, Norfolk, VA 23507

A 41/2-month-old infant was referred to our center with the rare combination of tetralogy of Fallot and coarctation of the aorta. Despite the presence of severe right ventricular outflow obstruction, the infant was virtually acyanotic because of the systemic afterload associated with the coarctation. She had marked systemic hypertension. The embryological and therapeutic implications of this child's defects are discussed.






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