1.Reoperation 22 and 18 Years after Radical Repair of the Tetralogy of Fallot: Report of Two Cases and Review of the Japanese Literature.
Kazuhisa Arakawa ; Akio Ootaki ; Susumu Ishikawa ; Tooru Takahasi ; Yutaka Hasegawa ; Tetuya Koyano ; Tosiharu Yamagishi ; Takashi Ogino ; Satoshi Ooki ; Yasuo Morishita
Japanese Journal of Cardiovascular Surgery 1997;26(3):193-196
Two patients, a 32-year-old man and a 23-year-old woman, underwent successful reoperations 22 and 18 years after radical repair of the tetralogy of Fallot (TOF). The former patient had a diagnosis of pulmonary stenosis and aortic regurgitation due to infective endocarditis. Patch reconstruction of the right ventricular outflow tract (RVOT) and aortic valve replacement were performed. The latter patient was diagnosed as having pulmonary stenosis and a recanalized ventricular septal defect (VSD), followed by patch reconstruction of the RVOT and direct closure of a residual VSD. Reoperation 15 years or more after radical repair of TOF is rare. Only 15 such cases including the present two have been reported in Japan.
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