Close Menu

Potts Anastomosis: Transthoracic Echocardiographic Features: Tetralogy of Fallot, Doubly Committed Sub-arterial Ventricular Septal Defect, Anomalous Left Anterior Descending Coronary Artery Crossing Right Ventricular Outflow Tract

Journal Authors: 
Issue: 
DOI: 
10.7727/wimj.2017.049

ABSTRACT

Potts anastomosis is a central systemic-pulmonary surgical shunt between the descending aorta and the left pulmonary artery, developed and subsequently disbanded, in the 1950’s to provide pulmonary blood flow in patients with Tetralogy of Fallot. Blacock-taussig shunt is a peripheral systemic pulmonary, communication, which was varied to make the Modified B-T shunt, which is now the standard of surgical care for temporary or permanent blood flow to the right or left pulmonary arteries from the subclavian artery. The central shunts were disbanded in the 1950’s as early development of pulmonary hypertension and its sequelae were the major prohibitive complications. This is a case report of a patient with Tetralogy of Fallot with a rare combination of doubly committed sub-arterial ventricular septal defect, anomalous left anterior descending coronary artery crossing the right ventricular outflow tract and patent ductus arteriosus, who developed pulmonary hypertension within four years of Potts anastomosis and now requires cardiac and lung transplantation. The transthoracic echocardiographic images are the focussed feature in this paper, confirming clearly defined structural anatomy in complex structural congenital heart disease.

Accepted: 
13 Mar, 2017
e-Published: 21 Mar, 2017

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Become a subscriber to access the full article.

Top of Page