[Successful surgical correction of tetralogy of Fallot and pulmonary atresia in adulthood after reconsidering inoperability].
A 36 year old male with tetralogy of Fallot and pulmonary atresia was corrected successfully. Previous palliative operation (Cooley shunt) was performed 35 years before. He was in NYHA functional class III. because of chronic hypoxia, polyglobulia, cerebral accident, pulmonary complications, myocardial (ventricular) dysfunction and syncopes. After an uneventful surgical reconstruction, the postoperative period was complicated with haemostasis complication and pulmonary distress syndrome. He left the hospital in NYHA functional class I on the 20th postoperative day in very good condition.


CONCLUSIONS
Complete cardiac recovery will be possible after successful surgically reconstruction of tetralogy of Fallot and pulmonary atresia even in adulthood. The reconsideration of operability of such cases is recommended. As the patient may have different extracardiac complications in every case new complete reconsideration is necessary for the indication of surgical reconstruction.
Hartyánszky
István
I
Gottsegen György Országos Kardiológiai Intézet, Budapest. hartyanszky@hotmail.com
Temesvári
András
A
Szatmári
András
A
Szudi
László
L
Prodán
Zsolt
Z
Mihályi
Sándor
S
Lipptai
Csilla
C
D000328:Adult; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*; D016896:Treatment Outcome