title: [Corrected Transposition of the Great Arteries, Ventricular Septal Defect, Tricuspid Regurgitation and Pulmonary Hypertension Operated at Middle Age: Report of a Case].
abstract: A 45-year-old male with corrected transposition of great arteries and the ventricular septal defect (VSD) was considered to have no indication for the total repair because of severe pulmonary hypertension in his young age. He was suffered from heart failure with absence at the age of 44. Detail examinations revealed the severe tricuspid valve regurgitation with VSD. We reevaluated him for the operative indication by the aspect of pulmonary hypertension. His pulmonary vascular resistance decreased with the administration of 100% oxygen, and no pulmonary vascular obstructions were detected in the lung specimen. As a result, he underwent VSD patch closure and tricuspid valve replacement. His postoperative course was uneventful and he was discharged from our hospital at day 16 postoperatively. Our data suggested that reevaluation including lung biopsy should be important to determine operative indication for adult congenital heart disease.
authors.affiliation: Department of Cardiovascular Surgery, Ogaki Municipal Hospital, Ogaki, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Okawa
authors.forename: Takuya
authors.initials: T
authors.lastname: Kimura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yuhara
authors.forename: Jun
authors.initials: J
authors.lastname: Yokote
authors.forename: Yukifusa
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Shuji
authors.initials: S
authors.lastname: Tamaki
authors.forename: Takaya
authors.initials: T
authors.lastname: Ota
authors.forename: Eiki
authors.initials: E
authors.lastname: Nishihara
authors.forename: Kenji
authors.initials: K
authors.lastname: Kuraishi
mesh_terms: D001706:Biopsy; D006348:Cardiac Surgical Procedures / Q000379:methods; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery