A Long-Term Survivor with Tetralogy of Fallot Treated Only with the Classical Blalock-Taussig Shunt-Reference-Cited by-同舟云学术

A Long-Term Survivor with Tetralogy of Fallot Treated Only with the Classical Blalock-Taussig Shunt

Published:2018-08-19 Issue: Volume:2018 Page:1-4
ISSN:2090-6404
Container-title:Case Reports in Cardiology
language:en
Short-container-title:Case Reports in Cardiology

Author:

Yamada Yu¹^ORCID,Ishizu Tomoko¹^ORCID,Tsuneoka Hidekazu¹,Eki Yutaka²,Horigome Hitoshi³^ORCID

Affiliation:

1. Department of Cardiology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan

2. Department of Cardiology, Hitachi General Hospital, Ibaraki, Japan

3. Department of Pediatrics, University of Tsukuba, Ibaraki, Japan

Abstract

The prognosis of tetralogy of Fallot (TOF) treated only with Blalock-Taussig shunt (BTS) operation is unclear. A woman with TOF underwent classic BTS operation at 10 years of age. Despite no medication, she delivered two children and worked without apparent heart failure. At 72 years of age, she complained of dyspnea on exertion and leg edema. The cardiac angiogram revealed a well-patent BTS and severely stenotic right ventricular outflow tract. Right heart catheterization showed adequately maintained pulmonary blood flow with slight pulmonary arterial hypertension. Her unexpected yet favorable outcome reaffirms the importance of structural and functional self-adaptation even with cyanosis. If she had undergone a valve-sparing corrective surgery in adolescence, much better quality of life and outcome could have been expected.

Publisher

Hindawi Limited

Subject

Cardiology and Cardiovascular Medicine

Link

http://downloads.hindawi.com/journals/cric/2018/5262745.pdf

Reference18 articles.

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3. Late risk of outcomes for adults with repaired tetralogy of Fallot from an inception cohort spanning four decades☆

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