Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-24T11:33:37.093Z Has data issue: false hasContentIssue false

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*
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.

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.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Harada, Y, Imai, Y, Kurosawa, H, Ishihara, K, Kawada, M, Fukuchi, S. Ten year follow-up after valve replacement with the St.Jude Medical prosthesis in children Thora. Cardiovasc Surg 1990; 100: 175180.Google Scholar
2.Borkon, AM, Soule, L, Reitz, BA, Gott, VL, Gardner, TJ. Five year follow-up after valve replacement with the St. Jud. Medical valve in infant and children. Circulation 1986; 74: 110115.Google Scholar
3.llbawi, MN, Lockhart, CG, Idriss, FS. Experience with St.Jude Medical valve prosthesis in children. J Thorac Cardiovasc Surg 1987; 93: 7379.Google Scholar