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pubmed:otherAbstract |
PIP: A case of thrombosis of a Blalock anastomosis in a woman with Fallot's tetralogy is presented. She had the anastomosis at age 7 years, and had symptoms of dyspnea, dizziness, and a systolic murmur at the time of a miscarriage at age 21. 5 days after starting a 5 mg combination of norethynodrel and mestranol she was hospitalized for acute dyspnea, cyanosis, fainting, and painful hepatosplenomagaly suggestive of failure of the anastomosis. This was documented by angiography and during surgery when an aortic-pulmonary shunt was done. After several relapses the woman was doing well with some cyanosis and Stage 2 dyspnea. The evidence that oral contraceptives may cause some thromboembolic disease, particularly pulmonary, cerebral, and cardial accidents, is discussed.
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