Correction of tetralogy of Fallot in an adult using a stented bioprosthetic valved conduit
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Keiko Kiyokawa, MD · Kazutomo Goh, MD, PhD Nobuyuki Akasaka, MD, PhD Takayuki Kadohama, MD, PhD · Kei Kazuno, MD Tadahiro Sasajima, MD, PhD
- چاپ و سال / کشور: 2010
Description
A 55-year-old man with tetralogy of Fallot successfully underwent correction using a valved conduit. He was diagnosed as having congenital heart disease during childhood, but no surgical intervention was performed. Cyanosis and dyspnea on effort had progressed gradually. Catheterization showed a left ventricular end diastolic volume of 126 ml, and the pulmonary arteries had suffi cient diameters. To prevent postoperative pulmonary regurgitation, we planned to use a bioprosthetic valved conduit for right ventricular outfl ow tract reconstruction. At 4.5 years after the operation he is in New York Heart Association functional class I. The catheterization performed 1.5 years after the surgery showed no pressure gradient between the right ventricle and the pulmonary artery. Thus, total correction of tetralogy of Fallot in an adult can be achieved safely, and the use of a bioprosthetic stented valved conduit can be benefi cial.
Gen Thorac Cardiovasc Surg (2011) 59:422–425 DOI 10.1007/s11748-010-0702-z Received: 23 March 2010 / Accepted: 30 August 2010
