title: [Multivalve redo surgery in adult patient with complex pulmonary artesia].
abstract: 30-year-old adult with complex pulmonary atresia (previous surgical procedures: in infancy: exploration, at age of 10: ventricular septal defect closing, unifocalization, homograft implantation between right ventricular outflow tract and pulmonary artery) has biventricular dysfunction because of aortic valve regurgitation, ascending aortic aneurysm, and homograft insufficienty. Multivalve surgery: aortic valve plasty, pulmonary homograft changes for homograft and ascending aortic reconstruction by graft were carried out successfully. In Hungary this was the first case of this type of surgery. Management of special problems (follow-up, correct diagnostics (echocardiography, MR, CT), indication and necessity of reoperation, optimal age) in adult patients with complex congenital heart defects produces excellent early and late surgical results. Orv. Hetil., 2017, 158(14), 546-549.
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Semmelweis u. 8., 6725.
authors.forename: István
authors.initials: I
authors.lastname: Hartyánszky
authors.affiliation: Aneszteziológiai és Intenzív Terápiás Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged.
authors.forename: Barna
authors.initials: B
authors.lastname: Babik
authors.affiliation: Városmajori Szív- és Érsebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Krisztina
authors.initials: K
authors.lastname: Kádár
authors.affiliation: Városmajori Szív- és Érsebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Attila
authors.initials: A
authors.lastname: Tóth
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital Southampton NHS Trust United Kingdom.
authors.forename: László
authors.initials: L
authors.lastname: Göbölös
authors.affiliation: Szívsebészeti Osztály, Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szeged, Semmelweis u. 8., 6725.
authors.forename: Gábor
authors.initials: G
authors.lastname: Bogáts
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000150:complications* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006801:Humans; D018633:Pulmonary Atresia / Q000150:complications / Q000601:surgery*; D011664:Pulmonary Valve / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000209:etiology / Q000601:surgery*
keywords: complex pulmonary artesia; komplex pulmonalis atresia; multivalve redo surgery; több-billentyűs redoműtét