Tetralogy of Fallot: Pushing Through Despite Long Odds

Frank Han; Michael McMullan; William F Campbell

doi:10.1016/j.jaccas.2019.10.024

Tetralogy of Fallot: Pushing Through Despite Long Odds

JACC Case Rep. 2019 Dec 18;1(4):523-525. doi: 10.1016/j.jaccas.2019.10.024. eCollection 2019 Dec.

Authors

Frank Han¹, Michael McMullan¹, William F Campbell¹

Affiliation

¹ Department of Cardiology, University of Mississippi, Jackson, Mississippi.

Abstract

The natural history of tetralogy of Fallot depends on whether a transannular pulmonary valve patch or shunt surgery was necessary in infancy. This case illustrates the feasibility of cardiac rest on extracorporeal membranous oxygenation for a very ill adult with conduit endocarditis who received a right ventricle-to-pulmonary artery valveless conduit for later transcatheter pulmonary valve replacement. (Level of Difficulty: Advanced.).

Keywords: AICD, automated implantable cardioverter-defibrillator; ECMO, extracorporeal membranous oxygenation; ICU, intensive care unit; LV, left ventricular; PVR, pulmonary valve replacement; RV-PA, right ventricle–to–pulmonary artery; RVOT, right ventricular outflow tract; VSD, ventricular septal defect; endocarditis; imaging; tetralogy of Fallot.

Publication types

Case Reports