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Replacement of the aortic valve in tetralogy of Fallot prior to intracardiac repair—a case report

Published online by Cambridge University Press:  19 August 2008

Giorgio M. Aru ,
Emiliano Cirio  and
Valentino Martelli
Giorgio M. Aru*
Affiliation:
From the Divisione di Cardiochirurgia, Ospedale San Michele, Cagliari
Emiliano Cirio
Affiliation:
From the Divisione di Cardiochirurgia, Ospedale San Michele, Cagliari
Valentino Martelli
Affiliation:
From the Divisione di Cardiochirurgia, Ospedale San Michele, Cagliari
*
Dr.Giorgio M.Aru, Divisione di Cardiochirurgia, Ospedale Nuovo San Michele, 09100 Cagliari, Italy. Tel70-539520-1; Fax. 70-539518.
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Abstract

A 21-year-old woman with tetralogy of Fallot, who had undergone a right Blalock-Taussig shunt at one year of age, developed endocarditis of the aortic valve. Septic thrombosis of the right pulmonary artery was diagnosed by intraoperative transesophageal echocardiography. Replacement of the aortic valve initially performed by a St. Jude Medical prosthesis, was unsuccessful due to immobilization of the valve occluder. Subsequent replacement of the St. Jude valve by a Carpentier-Edwards valve was uneventful. Thrombectomy and patch enlargement of the right pulmonary artery were also performed successfully. We suggest that the St. Jude Medical valve should be employed with caution for replacement of the aortic valve in patients with tetralogy of Fallot who have not undergone intracardiac repair. Transesophageal echocardiography is extremely useful in discovering undiagnosed associated lesion such as septic thrombosis of the pulmonary arteries.

Keywords

Tetralogy of Fallotvalve replacement
Type
Brief Reports
Information
Cardiology in the Young , Volume 2 , Issue 2 , April 1992 , pp. 200 - 201
Copyright
Copyright © Cambridge University Press 1992

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References

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