Hybrid procedure for acute severe aortic regurgitation in an uncorrected adult tetralogy of Fallot.
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.
Kale
Suresh B
SB
Department of Pediatric and Congenital Cardiac Services, Greenlane Starship Childrens Hospital, Grafton, Auckland, New Zealand. sureshbkale@gmail.com
Finucane
Kirsten
K
Rumball
Elizabeth
E
O'Donnell
Clare
C
Buckley
David
D
D000328:Adult; D000367:Age Factors; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation; D004696:Endocarditis / Q000150:complications / Q000382:microbiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000150:complications / Q000601:surgery; D013298:Streptococcus sanguis; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*