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(Chest. 1972;62:34-38.)
© 1972 American College of Chest Physicians

Irreversible Pulmonary Hypertension after Correction of Tetralogy of Fallot

Mauricio L. Roisman M.D.1; Barry M. Beller M.D.1; and James D. O'Keefe M.D.1

1 Section of Cardiovascular Diseases, Department of Physiology and Medicine, The University of Texas Medical School at San Antonio

A case of tetralogy of Fallot in which irreversible pulmonary hypertension developed in the postoperative period is presented. A recent cardiac catheterization has shown this to be caused by reopening of the ventricular septum and complete relief of infundibular pulmonic stenosis. The patient's hemodynamics are now those of a ventricular septal defect with reversal of shunting. The need for careful postoperative follow-up and early evaluation by catheterization when the hemodynamic status is in doubt is illustrated and stressed.






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Copyright © 1972 by the American College of Chest Physicians.