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KMID : 0376419770010000123
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Chonbuk University Medical Journal
1977 Volume.1 No. 0 p.123 ~ p.127
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Pulmonary Congestion of Right Upper Lobe after Waterston-Cooley Shunt for Tetralogy of Fallot.
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Abstract
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The tetralogy of Fallot is one of the most frequent serious congenital cardiac malformations. The Waterston-Cooley operation is a successful, palliative procedure in young children under the age of 5 with obstructive lesions of the right side of the heart who require a systemic-pulmonary arterial shunt for survival.
A patient, aged 3 and weighing 13kg,, who had been deeply cyanotic since one month after birth, was admitted to the University of Severance Medical Hospital under the diagnosis of tetralogy of Fallot in March, 1976. After admission, anastomosis of the right pulmonary artery to the ascending aorta was performed and the diameter of the anastomotic channel was
made only 4 mm. Thereafter, he died of the heart failure within an hour after operation.
The purpose of this report is to describe the immediate and late effects of the systemic-pulmonary shunt surgery with review of the literatures.
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