Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult
The patient had no symptoms from birth to young adulthood, when he developed more severe hypoxia, which required a Blalock-Taussig anastomosis on the right. Five years ago, worsening of hypoxia was again observed, with hemapheresis every 6 months, in addition to fatigue on small to medium exertion and with associated ventricular dysfunction. He used f warfarin, carvedilol and enalapril, in addition to nasal oxygen at night.
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Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult
AtikE, BinottoMA, BarretoAC, IshikawaW. Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult. Arq. Bras.
Cardiol. 2019;113(1):103-5.
Atik,Edmar; Binotto,Maria Angélica; Barreto,Alessandra Costa; Ishikawa,Walther. Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult. Arq. Bras.
Cardiol., v. 113, n. 1, p. 103-105, Jul. 2019.
Atik,E., Binotto,M.A., Barreto,A.C., & Ishikawa,W. (2019). Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult. Arq. Bras.
Cardiol.,113(1), 103-105.
Atik,Edmar and Binotto,Maria Angélica and Barreto,Alessandra Costa and Ishikawa,Walther. Case 4/2019 – Pulmonary Atresia, Ventricular Septal Defect, and
Systemic-Pulmonary Collateral Circulation developing after prior
Blalock-Taussig, in a Symptomatic 47-Year-Old Adult. Arq. Bras.
Cardiol. [online]. 2019, vol. 113, n. 1, [cited 2025-10-25], pp.103-105. Available from: <https://abccardiol.org/en/article/case-4-2019-pulmonary-atresia-ventricular-septal-defect-andsystemic-pulmonary-collateral-circulation-developing-after-priorblalock-taussig-in-a-symptomatic-47-year-old-adult/>. ISSN 0066-782X.
Figure 1
Chest X-ray showing enlarged cardiac area with
ventricular dominance and increased pulmonary vascular
network. Electrocardiogram shows right cavity
overload.