Sk. Choudhary et al., SEVERE HYPOXIC BIVENTRICULAR DYSFUNCTION IN TETRALOGY OF FALLOT - IS BLALOCK SHUNT THE ANSWER, International journal of cardiology, 61(2), 1997, pp. 119-121
In a 4-year-old boy with tetralogy of Fallot, a right modified Blalock
-Taussig anastomosis was created because of severe myocardial dysfunct
ion and repeated hypercyanotic spells. Post-operatively, systemic oxyg
en saturation improved and also myocardial function. It is postulated
that hypoxia was responsible for myocardial dysfunction previously, an
d its elimination has resulted in markedly improved cardiac performanc
e. (C) 1997 Elsevier Science Ireland Ltd.