Abstract
We describe 5 adults with tetralogy of Fallot and pulmonary atresia who developed lung abscesses, including some infected with atypical microbial pathogens, with important morbidity. We hypothesize that patients with such anatomy are at risk for chronic pulmonary infection due to hypo-perfusion of the pulmonary parenchyma. This previously unreported clinical association should be considered in the differential diagnosis of patients with tetralogy of Fallot and pulmonary atresia who alter their respiratory state.
MeSH terms
-
Abnormalities, Multiple / diagnosis
-
Abnormalities, Multiple / surgery*
-
Adult
-
Anti-Bacterial Agents / therapeutic use
-
Cardiac Surgical Procedures / adverse effects*
-
Cardiac Surgical Procedures / methods
-
Drainage / methods
-
Female
-
Follow-Up Studies
-
Humans
-
Lung Abscess / diagnostic imaging*
-
Lung Abscess / microbiology*
-
Lung Abscess / mortality
-
Lung Abscess / therapy
-
Male
-
Postoperative Complications / diagnostic imaging
-
Postoperative Complications / mortality
-
Postoperative Complications / therapy
-
Pulmonary Atresia / diagnosis
-
Pulmonary Atresia / surgery*
-
Risk Assessment
-
Sampling Studies
-
Tetralogy of Fallot / diagnosis
-
Tetralogy of Fallot / surgery*
-
Tomography, X-Ray Computed
-
Treatment Outcome
-
Young Adult