Hybrid procedure for acute severe aortic regurgitation in an uncorrected adult tetralogy of Fallot

Suresh B Kale; Kirsten Finucane; Elizabeth Rumball; Clare O'Donnell; David Buckley

doi:10.1016/j.hlc.2008.10.017

Hybrid procedure for acute severe aortic regurgitation in an uncorrected adult tetralogy of Fallot

Heart Lung Circ. 2009 Dec;18(6):410-2. doi: 10.1016/j.hlc.2008.10.017. Epub 2008 Dec 31.

Authors

Suresh B Kale¹, Kirsten Finucane, Elizabeth Rumball, Clare O'Donnell, David Buckley

Affiliation

¹ Department of Pediatric and Congenital Cardiac Services, Greenlane Starship Childrens Hospital, Grafton, Auckland, New Zealand. [email protected]

PMID: 19119074
DOI: 10.1016/j.hlc.2008.10.017

Abstract

Adult survivors of surgically uncorrected complex tetralogy of Fallot [TOF] with multiple aorto-pulmonary coronary arteries [MAPCAs] are unusual and the development of severe aortic regurgitation [AR] due to endocarditis is a rare and difficult problem to manage. We report a successful hybrid approach utilising temporary balloon occlusion of the collaterals during the cross-clamp time as a strategy to allow adequate brain perfusion and safe aortic root replacement.

Publication types

Case Reports

MeSH terms

Adult
Age Factors
Aortic Valve / microbiology
Aortic Valve / pathology
Aortic Valve / surgery*
Aortic Valve Insufficiency / etiology
Aortic Valve Insufficiency / surgery*
Collateral Circulation
Coronary Angiography
Coronary Circulation
Endocarditis / complications
Endocarditis / microbiology
Endocarditis / surgery
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Streptococcal Infections / complications
Streptococcal Infections / surgery
Streptococcus sanguis
Tetralogy of Fallot / complications
Tetralogy of Fallot / surgery*