title: Transaortic Fallot repair in a grown-up patient: advantages in a situs inversus setting.
abstract: We present the case studies of two adult patients with tetralogy of Fallot who were scheduled for surgery. After addressing the right ventricular outflow tract obstruction, the aorta was opened and the ventricular septal defect was approached in a straightforward manner as it was located just under the overriding aortic valve. The second patient presented with was a situs inversus, dextroapex Fallot. In this setting, the aortic approach simplified the repair expeditiously. After 2 years, both patients are in New York Heart Association class I, with no residual ventricular septal defect, no aortic regurgitation, and complete relief of right ventricular outflow tract obstruction.
authors.affiliation: Cardiac Surgery, Hospital Carlos Haya, Málaga, Spain. giljaurena@gmail.com
authors.forename: Juan-Miguel
authors.initials: JM
authors.lastname: Gil-Jaurena
authors.forename: Joaquín
authors.initials: J
authors.lastname: Cano
authors.forename: Victorio
authors.initials: V
authors.lastname: Cuenca
mesh_terms: D001021:Aortic Valve; D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*