Aortic valve replacement for infective endocarditis in an adult with uncorrected tetralogy of Fallot and pulmonary atresia.
Shuhei TobaHisato ItoAyano FutsukiNaoki YamamotoTakeshi KonumaMotoshi TakaoYoshito OgiharaHideto ShimpoPublished in: General thoracic and cardiovascular surgery (2019)
Infective endocarditis is one of the complications encountered in patients with uncorrected tetralogy of Fallot; however, there have been only limited reports on surgical treatment of this condition. A 38-year-old man with uncorrected tetralogy of Fallot with pulmonary atresia previously palliated with modified Blalock-Taussig shunt was diagnosed with aortic valve infective endocarditis and developed severe aortic regurgitation. He underwent urgent aortic valve replacement, during which intermittent hypothermic circulatory arrest was necessary to achieve adequate myocardial protection and bloodless surgical field due to massive arterial return into the left ventricle from the collateral pulmonary circulation.
Keyphrases
- aortic valve
- aortic valve replacement
- pulmonary hypertension
- aortic stenosis
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- pulmonary artery
- left ventricular
- pulmonary arterial hypertension
- risk factors
- cell cycle
- early onset
- coronary artery disease
- emergency department
- extracorporeal membrane oxygenation
- cell proliferation
- atrial fibrillation
- congenital heart disease
- drug induced