a1 Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada
a2 Division of Pediatric Cardiology, Lucile Packard Children's Hospital, Palo Alto, CA, United States of America
Patients with severe right ventricular outflow tract obstruction in tetralogy of Fallot typically have right-to-left shunting, resulting in low pulmonary blood flow and cyanosis. Here we present the case of an infant with tetralogy of Fallot and severe pulmonary valve stenosis, complicated by systemic hypertension, the presence of which altered flow dynamics and possibly prevented cyanosis.
(Received June 20 2012)
(Accepted September 22 2012)
(Online publication November 13 2012)
c1 Correspondence to: Dr R. Punn, MD, Division of Pediatric Cardiology, Lucile Packard Children's Hospital, 750 Welch Road, Suite no. 305, Palo Alto, CA 94304, United States of America. Tel: +1 650 498 4563; Fax: +1 650 725 8343; E-mail: firstname.lastname@example.org