A case of pulmonary stenosis after a repair for tetralogy of Fallot treated with percutaneous pulmonary valvuloplasty using a triple-balloon technique.
The patient was a 37-year-old female who had undergone a repair for tetralogy of Fallot (TOF) at the age of 4 years. Postoperative pulmonary stenosis remained, but she continued to be managed medically. Approximately 3 years ago, at the age of 34, she exhibited a worsening of fatigue and dyspnea during exertion (New York Heart Association III), and was therefore hospitalized for a detailed examination. In cardiac catheterization, a right ventricle to pulmonary artery peak-to-peak gradient of about 90 mmHg was observed. Since it appeared that medical treatment alone would not sufficiently control her heart failure, pulmonary valvuloplasty using a triple-balloon technique was performed for the pulmonary stenosis. The peak-to-peak gradient immediately after the procedure decreased to 13 mmHg. There were no indications of restenosis approximately 6 months after the procedure, and the symptoms of heart failure in her daily life improved thereafter.
Fujii
Akira
A
National Hospital Organization, Ehime National Hospital, Division of Cardiovascular Disease, Ehime, Japan. akfujii@ykh.gr.jp
Funada
Jun-Ichi
J
Morioka
Norikatsu
N
Hashida
Hidetoshi
H
Iwata
Takeru
T
Higaki
Takashi
T
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D004452:Echocardiography; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011664:Pulmonary Valve / Q000601:surgery*; D011666:Pulmonary Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*