title: Two melodies in concert: mitral and pulmonary valve replacement late in repaired tetralogy of Fallot.
abstract: Disruption of pulmonary valve integrity after Tetralogy of Fallot repair often results in a cascade of hemodynamic and electrophysiological abnormalities. Here we report an uncommon case of severe pulmonary regurgitation with concomitant rheumatic mitral stenosis diagnosed 25 years after primary Tetralogy of Fallot repair. A 33-year-old man presented with symptomatic palpitation and exercise intolerance and was treated successfully with pulmonary and mitral valve replacement, after which his symptoms improved dramatically.
authors.affiliation: Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China. _myst_fox@vip.163.com.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Fang
authors.affiliation: Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China. humanjia@msn.com.
authors.forename: Jia
authors.initials: J
authors.lastname: Hu
authors.affiliation: Department of Pathology, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China. 690578344@qq.com.
authors.forename: Xianglan
authors.initials: X
authors.lastname: Zhu
authors.affiliation: Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China. edwarddian@163.com.
authors.forename: Ke
authors.initials: K
authors.lastname: Lin
mesh_terms: D000328:Adult; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*