Pulmonary atresia with ventricular septal defect: report of the oldest known surviving case

The case of a 54-year-old housewife, oldest published survivor with pulmonary atresia and a ventricular septal defect (pseudotruncus arteriosus), is reported. Her remarkably favorable course is likely related to the absence of progressive hemodynamic changes, with moderate pulmonary flow adequate fo...

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Bibliographic Details
Published inChest Vol. 67; no. 5; p. 603
Main Authors Smitherman, T C, Nimetz, A A, Friedlich, A L
Format Journal Article
LanguageEnglish
Published United States 01.05.1975
Subjects
Cardiomegaly - diagnostic imaging
Electrocardiography
Female
Heart Conduction System - physiopathology
Heart Septal Defects, Ventricular - complications
Humans
Longevity
Middle Aged
Pulmonary Valve Stenosis - congenital
Radiography
Tetralogy of Fallot - classification
Tetralogy of Fallot - diagnostic imaging
Tetralogy of Fallot - physiopathology
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Summary:The case of a 54-year-old housewife, oldest published survivor with pulmonary atresia and a ventricular septal defect (pseudotruncus arteriosus), is reported. Her remarkably favorable course is likely related to the absence of progressive hemodynamic changes, with moderate pulmonary flow adequate for nearly normal arterial oxygenation yet without increasing pulmonary vascular resistance. This case reemphasizes the relationship of longevity to pulmonary blood flow volume with this defect.
ISSN:0012-3692
DOI:10.1378/chest.67.5.603