PULMONARY VASCULAR OBSTRUCTIVE DISEASE AND HEMOPTYSIS IN A CHILD WITHTETRALOGY 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-ye ar-old girl are described. The echocardiogram was typical of TOF, as w ell as ductus arteriosus and right aortic arch. Cardiac catheterizatio n revealed a pulmonary vascular resistance of 44 hybrid resistance uni ts, and the pulmonary-to-systemic resistance ratio was 1.4. Diagnosis of PVOD was made by cardiac catheterization. Angiography revealed a br onchial artery arising from the left subclavian artery. PVOD itself, r upture of a bronchial artery, or both, were considered the contributor y causes of hemoptysis in this patient.