Three-vessel coronary artery disease complicated with congestive heart failure in a highly aged patient with tetralogy of Fallot having undergone palliative surgeries.
An increasing number of patients with tetralogy of Fallot (TOF) are reaching older age. We encountered a 75-year-old woman with uncorrected TOF and concomitant severe coronary artery disease (CAD) with congestive heart failure. Her CAD risk factor was hyperlipidemia, which had been untreated. Successful percutaneous coronary interventions have improved her clinical condition and provided long-term survival. Although CAD is considered to be a rare complication in adults with TOF, both strict modification of CAD risk factors and early detection of CAD would be also required in this population, given the residual TOF lesions relating to acute exacerbation of clinical presentation.
Sahara
Makoto
M
Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine.
Takahashi
Toshiyuki
T
Morita
Toshihiro
T
Yao
Atsushi
A
Nagashima
Yu
Y
Hirata
Yasunobu
Y
Nagai
Ryozo
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017073:Atherectomy; D017225:Atherectomy, Coronary; D003327:Coronary Disease / Q000150:complications* / Q000628:therapy; D005260:Female; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D000860:Hypoxia / Q000209:etiology; D021621:Imaging, Three-Dimensional; D010166:Palliative Care; D011654:Pulmonary Edema / Q000209:etiology; D011662:Pulmonary Subvalvular Stenosis / Q000209:etiology; D015607:Stents; D013771:Tetralogy of Fallot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed