title: Triple valve replacement late after tetralogy of Fallot repair: report of a case.
abstract: Right ventricular failure after repair of tetralogy of Fallot (TOF) is associated with late mortality and morbidity. We report a case of tricuspid and mitral regurgitation with severe pulmonary regurgitation (PR) diagnosed 31 years after repair of TOF. The patient, a 48-year-old woman, presented with severe ventricular arrhythmia and exercise intolerance. She was treated successfully with triple valve replacement, following which her symptoms improved dramatically. She has remained well for 2 years postoperatively.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Hyogo, Japan.
authors.forename: Nobuchika
authors.initials: N
authors.lastname: Ozaki
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshida
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
mesh_terms: D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D011665:Pulmonary Valve Insufficiency / Q000209:etiology / Q000601:surgery; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery