Tetralogy of Fallot with Pulmonary Arteriovenous Fistula: A Case Report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 257-261, 2000.
Article
in Korean
| WPRIM
| ID: wpr-41331
ABSTRACT
Pulmonary arteriovenous fistula can occur in a variety of clinical situations including liver diseases, infections, metastatic carcinomas, systemic disorders, and after the palliation of congenital heart diseases. A 72-day-old male infant with Tetralogy of Fallot and pulmonary atresia underwent surgical correction without difficulty. However, ventilator weaning in the ICU failed initially because of an unexplained postoperative hypoxemia(FiO2 0.8, PaO2 40 mmHg, SaO2 80~90%). Postoperative follow-up lung perfusin scan at postoperative 15 days showed right-to-left shunt(33.6%) and ventilator weaning was performed on the 20th day after the operation (FiO2 0.4, PaO2, 50mmHg, SaO2 86.9%). Arterial oxygen saturation under room air was 80~85% at 7 months postoperatively. One and half year follow-up lung perfusion scan showed decreased amount of right-to-left shunt (11.2%). We report a case with a review of the literatures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Perfusion
/
Tetralogy of Fallot
/
Ventilator Weaning
/
Follow-Up Studies
/
Arteriovenous Fistula
/
Pulmonary Atresia
/
Heart Diseases
/
Liver Diseases
/
Lung
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Infant
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2000
Type:
Article
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