Publication:
Transaortic Fallot repair in a grown-up patient: advantages in a situs inversus setting.

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Date

2012-10-06

Authors

Gil-Jaurena, Juan-Miguel
Cano, Joaquín
Cuenca, Victorio

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Cambridge University Press
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Abstract

We present the case studies of two adult patients with tetralogy of Fallot who were scheduled for surgery. After addressing the right ventricular outflow tract obstruction, the aorta was opened and the ventricular septal defect was approached in a straightforward manner as it was located just under the overriding aortic valve. The second patient presented with was a situs inversus, dextroapex Fallot. In this setting, the aortic approach simplified the repair expeditiously. After 2 years, both patients are in New York Heart Association class I, with no residual ventricular septal defect, no aortic regurgitation, and complete relief of right ventricular outflow tract obstruction.

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Case Reports; Journal Article;

MeSH Terms

Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Thoracic Surgical Procedures::Cardiac Surgical Procedures
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Follow-Up Studies
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Diseases::Congenital, Hereditary, and Neonatal Diseases and Abnormalities::Congenital Abnormalities::Situs Inversus
Medical Subject Headings::Diseases::Congenital, Hereditary, and Neonatal Diseases and Abnormalities::Congenital Abnormalities::Cardiovascular Abnormalities::Heart Defects, Congenital::Tetralogy of Fallot
Medical Subject Headings::Anatomy::Cardiovascular System::Heart::Heart Valves::Aortic Valve
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Catheterization::Heart Catheterization

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Keywords

Fallot, Grown-up, aortic repair, Situs inversus, Cateterismo cardíaco, Estudios de seguimiento, Tetralogía de Fallot, Cateterismo cardíaco

Citation

Gil-Jaurena JM, Cano J, Cuenca V. Transaortic Fallot repair in a grown-up patient: advantages in a situs inversus setting. Cardiol Young. 2012 ; 22(5):603-5