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Right arrow Congenital - cyanotic

Ann Thorac Surg 2004;78:e69-e71
© 2004 The Society of Thoracic Surgeons

Case report

Complete Atrioventricular Canal and Tetralogy of Fallot With Pulmonary Atresia

Toru Okamura, MDa,*, Yuzo Nagase, MDa, Yasutoshi Matsumoto, MDb, In-sam Park, MDc, Fujio Mitsui, MDa, Masao Shibairi, MDa

a Department of Cardiovascular Surgery, Chiba, Japan
b Department of Pediatrics, Matsudo City Hospital, Chiba, Japan
c Department of Pediatrics, The Sakakibara Heart Institute, Tokyo, Japan

Accepted for publication December 22, 2003.

* Address reprint requests to Dr Okamura, Department of Cardiovascular Surgery, Matsudo City Hospital, 4005 Kamihongo, Matsudo, Chiba 271-8511, Japan
tokamura{at}rr.iij4u.or.jp

Our patient was diagnosed with complete atrioventricular canal and Tetralogy of Fallot with pulmonary atresia at the age of 1 month. Then he underwent right and left Blalock-Taussig shunts at the ages of 2 months and 5 years, respectively. His cyanosis had increased at 20 years of age. Cardiac catheterization showed occlusion of the left Blalock-Taussig shunt and absence of the left pulmonary artery. Lung perfusion scintigram showed late phase perfusion in the left lung. Chest computed tomographic scan demonstrated the left pulmonary artery. We describe the operative technique of total correction.






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