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Lung Abscess in Adults with Tetralogy of Fallot and Pulmonary Atresia

Published online by Cambridge University Press:  22 February 2010

Clare P. O’Donnell ,
Michael J. Landzberg  and
Mary P. Mullen
Clare P. O’Donnell
Affiliation:
Department of Cardiology, Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115
Michael J. Landzberg
Affiliation:
Department of Cardiology, Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115
Mary P. Mullen*
Affiliation:
Department of Cardiology, Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115
*
Correspondence to: Mary P. Mullen, MD, PhD, Department of Cardiology, Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115. Tel: 617-355-7866; Fax: 617-713-3808; E-mail: mary.mullen@cardio.chboston.org
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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.

Keywords

Adult congenital heart diseasepulmonary atresia and ventricular septal defectpulmonary disease
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 1 , February 2010 , pp. 91 - 93
Copyright
Copyright © Cambridge University Press 2010

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