Temkine J, Aigueperse J, Chaumont P, Meyzer J P, Zuber C
Arch Mal Coeur Vaiss. 1977 Jun;70(6):663-8.
A child of 6 presented with a syndrome of gross respiratory distress together with persistant arterial desaturation, requiring ventilation for maintenance of life, occurring after the apparently straightforward correction of a Fallot's tetralogy. Postoperative investigation on the 15th day showed the reasons for the desaturation: there was a massive right-left shunt caused by flow from the inferior vena cava into the auricle of the left atrium through a low atrial septal defect which had not been recognised. Reoperation on the 15th day to close the atrial septal defect corrected the condition satisfactorily.
一名6岁儿童在法洛四联症看似简单的矫正手术后，出现严重呼吸窘迫综合征并伴有持续性动脉血氧饱和度降低，需要通气以维持生命。术后第15天的检查显示了血氧饱和度降低的原因：存在大量右向左分流，这是由于下腔静脉血流通过一个未被识别的低位房间隔缺损流入左心房所致。在第15天进行再次手术关闭房间隔缺损，病情得到了满意的纠正。
