title: Trans-radial approach for coronary angiography in an adult postoperative patient with tetralogy of Fallot with complex anatomy.
abstract: A 42-year-old, postoperative patient with tetralogy of Fallot (TOF) with right-sided aortic arch, presented with heart failure secondary to left ventricular dysfunction, severe valvular regurgitation and residual ventricular septal defect (VSD). After initial stabilisation, he underwent successful coronary angiography through a trans-radial approach followed by aortic valve replacement, pulmonary valve and VSD repair, and was discharged home in stable condition. This case report highlights the trans-radial approach as a feasible option for coronary angiography in postoperative patients with TOF with right-sided aortic arch.
authors.affiliation: Department of Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
authors.forename: Nasir
authors.initials: N
authors.lastname: Rahman
authors.affiliation: Department of Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Gul
authors.affiliation: Department of Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
authors.forename: Ashique
authors.initials: A
authors.lastname: Ali
mesh_terms: D000328:Adult; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods*; D006333:Heart Failure / Q000209:etiology*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D017534:Radial Artery; D013771:Tetralogy of Fallot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000209:etiology