title: Pulmonary vascular obstructive disease and hemoptysis in a child with tetralogy of Fallot and patent ductus arteriosus.
abstract: Tetralogy of Fallot (TOF) and patent ductus arteriosus complicated by pulmonary vascular obstructive disease (PVOD) and hemoptysis in a 5-year-old girl are described. The echocardiogram was typical of TOF, as well as ductus arteriosus and right aortic arch. Cardiac catheterization revealed a pulmonary vascular resistance of 44 hybrid resistance units, and the pulmonary-to-systemic resistance ratio was 1.4. Diagnosis of PVOD was made by cardiac catheterization. Angiography revealed a bronchial artery arising from the left subclavian artery. PVOD itself, rupture of a bronchial artery or both, were considered the contributory causes of hemoptysis in this patient.
authors.affiliation: Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan ROC.
authors.forename: C D
authors.initials: CD
authors.lastname: Liang
authors.forename: S C
authors.initials: SC
authors.lastname: Huang
authors.forename: W J
authors.initials: WJ
authors.lastname: Su
mesh_terms: D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000150:complications*; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology*; D013771:Tetralogy of Fallot / Q000150:complications*