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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: A.r.harper@ncl.ac.uk
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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

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