title: Secondary arrhythmogenic right ventricular cardiomyopathy decades after operative repair of tetralogy of Fallot.
abstract: We describe a 47-year-old man who underwent heart transplantation (HT) for severe right-sided heart failure and periodic episodes of ventricular tachycardia (VT) 43 years after operative repair of tetralogy of Fallot (T of F). The right-ventricular outflow tract, the site where a patch had been placed 4 decades earlier, was aneurysmal. Such development decades after operative repair of T of F of both aneurysm and episodes of VT is probably more common than previously realized.
authors.affiliation: Department of Family Medicine, Methodist Charlton Medical Center, Dallas, Texas.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Donaldson
authors.affiliation: Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas.
authors.forename: Jong Mi
authors.initials: JM
authors.lastname: Ko
authors.affiliation: Department of Cardiothoracic Surgery, Baylor University Medical Center, Dallas, Texas.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Gonzalez-Stawinski
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas.
authors.forename: Shelley A
authors.initials: SA
authors.lastname: Hall
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas; Department of Pathology, Baylor University Medical Center, Dallas, Texas. Electronic address: wc.roberts@baylorhealth.edu.
authors.forename: William C
authors.initials: WC
authors.lastname: Roberts
mesh_terms: D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000175:diagnosis / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D018450:Disease Progression; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed