RECURRENT INFUNDIBULO-PULMONARY PSEUDOANE URYSM AFTER COMPLETE CORRECTION OF TETRALOGY OF FALLOT

Infundibulo-pulmonary aneurysm is a rare complication of complete corr ection of Tetralogy of Fallot and its recurrence has not been previous ly reported. A girl with Tetralogy of Fallot with two small pulmonary branches underwent complete correction at 3 years of age with widening of the infundibulum, the pulmonary annulus and artery with a pedicula ted pericordial path. Five years later, the left parasternal systolic murmur increased in intensity die to an infundibulo-pulmonary aneurysm and severe stenosis of the bifurcation of the pulmonary artery confir med by echocardiography and catheterisation. This child was reoperated with resection of the aneurysm and widening of the pulmonary tract an d its two branches with a Dacron patch. Three years later, the aneurys m and pulmonary stenoses recur red and required percutaneous angioplas ty and stenting. The inadequacy of the result led to a further surgica l procedure.