Japanese Journal of Cardiovascular Surgery  2016;45(6):259-261

doi:10.4326/jjcvs.45.259

Surgical Repair of Tetralogy of Fallot in a Quinquagenarian

Ai Kojima ; Toru Okamura ; Fumiaki Shikata ; Hironori Izutani

Keywords

tetralogy of Fallot; adult patient; total correction

Country

Japan

Language

Japanese

Abstract

The patient was a 57-year-old woman. Even though she had received a diagnosis of tetralogy of Fallot as an student of elementary school, she did not consent to undertake surgical repair. Consequently, she had been observed until age 56, although she suffered from atrial fibrillation during this period. She decided to undergo surgical correction as she suffered from severe heart failure. The surgical repair included Maze procedure, a patch repair of ventricular septal defect, a repair of the right ventricular outflow tract and a pulmonary valve replacement. The right ventricular pressure reduced to around two-fifths of high left ventricular pressure postoperatively, and she was discharged without any complication.