title: Surgery for an adult with tetralogy of Fallot and acquired heart disease.
abstract: We experienced the rare case of an elderly woman with uncorrected tetralogy of Fallot. She also had significant mitral and tricuspid regurgitation with deteriorated ventricular function and ischemic coronary artery disease. We performed a radical repair of the tetralogy of Fallot, valvular operations for the mitral and tricuspid regurgitation, and coronary artery bypass grafting. Although mechanical circulatory support was required postoperatively, she recovered well to New York Heart Association functional class II.
authors.affiliation: Department of Cardiovascular Surgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan cardiovascsurgeon@gmail.com.
authors.forename: Masaki
authors.initials: M
authors.lastname: Hamamoto
authors.affiliation: Department of Cardiovascular Surgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan.
authors.forename: Kiyohiko
authors.initials: K
authors.lastname: Morifuji
mesh_terms: D000368:Aged; D058385:Cardiac Valve Annuloplasty; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013318:Stroke Volume; D013771:Tetralogy of Fallot / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D016277:Ventricular Function, Left
keywords: Adult; coronary artery disease; mitral valve insufficiency; tetralogy of fallot; tricuspid valve insufficiency