Pulmonary vascular obstructive disease and hemoptysis in a child with tetralogy of Fallot and patent ductus arteriosus.
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.
Liang
C D
CD
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan ROC.
Huang
S C
SC
Su
W J
WJ
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*