Tetralogy of Fallot with aortic stenosis: repair without aortic valve intervention.
A 14-day-old boy with tetralogy of Fallot (ToF), ductus-dependent pulmonary circulation, and significant aortic valve stenosis (AVS) underwent primary repair of ToF without aortic valve intervention. The pressure gradient through the aortic valve decreased spontaneously after the operation. This may have been due to the reduction of blood flow through the aortic valve postoperatively. For patients with ToF, AVS, and ductus-dependent circulation, ToF repair alone may alleviate the severity of the AVS.
Yun
Tae-Jin
TJ
Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan, 388-1 Pungnap-2dong, Songpa-gu, Seoul 138-736, Korea.
Kim
Young-Hwue
YH
Jhang
Won Kyoung
WK
D001021:Aortic Valve / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001783:Blood Flow Velocity; D001794:Blood Pressure; D004452:Echocardiography; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000601:surgery*