Cardiology in the Young

Table of Contents - 2004 - Volume 14, Issue 03  


Brief Report

Pulmonary atresia with intact ventricular septum and antenatal left ventricular failure

Saad Khoshhal a1, George G. S. Sandor a1 and Walter J. Duncan a1c1
a1 Department of Pediatrics, Division of Cardiology, British Columbia Children's Hospital, Vancouver, Canada

Article author query
khoshhal s   [PubMed][Google Scholar] 
sandor gg   [PubMed][Google Scholar] 
duncan wj   [PubMed][Google Scholar] 

Abstract

Pulmonary atresia with intact ventricular septum has been described extensively, and it is recognized that associated abnormalities of the coronary arteries may cause ischemia. We describe a fetus, diagnosed antenatally as having pulmonary atresia with intact ventricular septum and severe hypoplasia of the right ventricle, who developed severe left ventricular dysfunction. We hypothesize that this is due to reduced coronary blood flow because of falling right ventricular volume in the presence of complete right ventricular coronary arterial dependence.

(Accepted December 22 2003)


Key Words: Pulmonary atresia; antenatal left heart failure.

Correspondence:
c1 Correspondence to: Walter Duncan MD, Department of Pediatrics, Division of Cardiology, British Columbia Children's Hospital, 4480 Oak St., Vancouver, B.C. V6H 3V4, Canada. Tel: +1 604 875 2855; Fax: +1 604 875 3463; E-mail: wduncan@cw.bc.ca

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