Abstract
We describe an extremely rare combination of tetralogy of Fallot (TOF), right-sided cervical aortic arch with long-segment hypoplasia, and other vascular anomalies. A two-stage surgical approach included aortic arch reconstruction followed by right ventricular muscle bundle division and ventricular septal defect closure a few weeks later. The initial clinical presentation, perioperative course, and imaging studies are presented along with a review of the relevant literature. This is the first report of successful neonatal repair of TOF with long-segment hypoplasia of the aorta.
This is a preview of subscription content, access via your institution.



References
Bullaboy CA, Derkac WM, Johnson DH, Jennings RB Jr (1984) Tetralogy of Fallot and coarctation of the aorta: Successful repair in an infant. Ann Thorac Surg 38:400–401
de Santana RC, Guerra VC, Ikari NM, Ebaiad M (1999) Tetralogy of Fallot and aortic coarctation. A rare association. Arq Bras Cardiol 72:79–84
Elami AA, Rein AJJT, Preminger TJ, Milgalter E (1995) Tetralogy of Fallot, absent pulmonary valve, partial anomalous pulmonary venous return and coarctation of the aorta. Int J Cardiol 52:203–206
Freedom RM, Benson LN, Mikailian H (2005) Aortic coarctation in an infant with tetralogy and pulmonary atresia. Cardiol Young 15:667–668
Gunthard J, Murdison KA, Wagner HR, Norwood WI Jr (1992) Tetralogy of Fallot and coarctation of the aorta: a rare combination and its clinical implications. Pediatr Cardiol 13:37–40
Ho SY, Anderson RH (1979) Coarctation, tubular hypoplasia, and the ductus arteriosus. Histological study of 35 specimens. Br Heart J 41:268–274
Korula RJ, Bais A, Lal N, Jairaj PS (1991) Interrupted aortic arch with tetralogy of Fallot. A report of an unsuccessful surgically treated case. J Cardiovasc Surg (Torino) 32:541–543
Purkayastha S, Gupta AK, Varma DR, Bodhey NK, Vattoth S (2006) Absence of the left common carotid artery with cervical origin of the right subclavian artery. Am J Neuroradiol 27:708–711
Rudolph AM, Heymann MA, Spitznas U (1972) Hemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol 30:514–525
Tasar M, Yetiser S, Tasar A, Ugurel S, Gonul E, Saglam M (2004) Congenital absence or hypoplasia of the carotid artery: radioclinical issues. Am J Otolaryngol 25:339–349
Tateishi M, Koide M, Mizukami A (2007) Tetralogy of Fallot with atypical coarctation of the aorta and carotid arterial stenosis due to fibromuscular dysplasia. Cardiol Young 17:689–690
Yip RC, Deekollu D, Arnold R (2001) Coarctation co-existing with tetralogy of Fallot and pulmonary atresia. Cardiol Young 11:88–90
Author information
Authors and Affiliations
Corresponding author
Additional information
Jimmy C. Lu and Sanket S. Shah contributed equally to this work.
Rights and permissions
About this article
Cite this article
Lu, J.C., Shah, S.S., Owens, S.T. et al. Successful Staged Neonatal Repair of Tetralogy of Fallot with Long-Segment Hypoplasia of the Aorta. Pediatr Cardiol 31, 124–127 (2010). https://doi.org/10.1007/s00246-009-9547-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-009-9547-6
Keywords
- Aortic arch hypoplasia
- Coarctation
- Interrupted aortic arch
- Neonatal repair
- Tetralogy of Fallot