Severe Residual Pulmonary Stenosis after Surgical Repair of Tetralogy of Fallot: What’s Our Next Strategy?

Daniel Susilo Lawrence; Andi Alief Utama Armyn; Yulius Patimang1

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Publication Date: 2024/04/17

Abstract: This case report describes a 25-year-old woman with Tetralogy of Fallot (TOF) who underwent surgical repair at age 15. Eight years later, she presented with recurrent chest pain and was found to have residual severe pulmonary stenosis and regurgitation. This is a complication of TOF repair, particularly when the pulmonary valve is not preserved. The paper discusses the management of TOF, including initial palliative procedures and complete repair surgery. It highlights the long-term complications such as pulmonary valve regurgitation and residual stenosis, both of which may require re-intervention. The importance of long-term follow-up for TOF patients is emphasized.

Keywords: Tetralogy of Fallot (TOF); Pulmonary Stenosis; Pulmonary Regurgitation; TOF Repair; Long- Term Complications; Single Ostium Coronary Transverse in RVOT.

DOI: https://doi.org/10.38124/ijisrt/IJISRT24APR689

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24APR689.pdf

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