title: [Tetralogy of Fallow with Total Anomalous Pulmonary Vein Return and Atrial Septal Defect;Successful Two-staged Surgical Management;Report of a Case].
abstract: A combination of tetralogy of Fallot( TOF) and total anomalous pulmonary venous return(TAPVR) is rare and results in chronic volume and pressure load of the right side of the heart and underfilling of the left heart. We report a successful 2-staged surgical correction of TOF associated with TAPVR and atrial septal defect. The patient was unsuitable for total primary intracardiac correction because the volume of the left ventricle was considered to be small. First, repair of anomalous pulmonary venous return and palliative right ventricle outflow tract reconstruction were simultaneously performed in 2 months of birth. One year after 1st operation, cardiac catheterization revealed that normalization of left ventricle volume, so 2nd operation was planned. Total correction of ventricular septal defect and right ventricle outflow reconstruction was performed and the patient was discharged on the 21st postoperative day with good hemodynamic status.
authors: Pediatric and Congenital Cardiovascular Surgery, Jichi Children's Medical Center Tochigi, Shimotsuke, Japan.
authors: Yoshiyuki
authors: Y
authors: Maekawa
authors: Yoshinori
authors: Y
authors: Miyahara
authors: Ko
authors: K
authors: Yoshizumi
authors: Masaaki
authors: M
authors: Kawada
authors: Takaomi
authors: T
authors: Minami
authors: Tomoyuki
authors: T
authors: Sato
authors: Akiko
authors: A
authors: Yokomizo
authors: Kensuke
authors: K
authors: Oka
authors: Sadahiro
authors: S
authors: Furui
authors: Koichi
authors: K
authors: Kataoka
mesh_terms: D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012587:Scimitar Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed