2024-03-29T07:17:39Z
https://tsukuba.repo.nii.ac.jp/oai
oai:tsukuba.repo.nii.ac.jp:00048190
2022-04-27T09:20:20Z
2780:556
2780:990
3:62:5298:7126
A Long-Term Survivor with Tetralogy of Fallot Treated Only with the Classical Blalock-Taussig Shunt
石津, 智子
堀米, 仁志
Yamada, Yu
Ishizu, Tomoko
Tsuneoka, Hidekazu
Eki, Yutaka
Horigome, Hitoshi
The prognosis of tetralogy of Fallot (TOF) treated only with Blalock-Taussig shunt (BTS) operation is unclear. A woman with TOF underwent classic BTS operation at 10 years of age. Despite no medication, she delivered two children and worked without apparent heart failure. At 72 years of age, she complained of dyspnea on exertion and leg edema. The cardiac angiogram revealed a well-patent BTS and severely stenotic right ventricular outflow tract. Right heart catheterization showed adequately maintained pulmonary blood flow with slight pulmonary arterial hypertension. Her unexpected yet favorable outcome reaffirms the importance of structural and functional self-adaptation even with cyanosis. If she had undergone a valve-sparing corrective surgery in adolescence, much better quality of life and outcome could have been expected.
journal article
Hindawi
2018-08
application/pdf
Case Reports in Cardiology
2018
5262745
2090-6404
https://tsukuba.repo.nii.ac.jp/record/48190/files/CRC_2018-5262745.pdf
eng
30210878
10.1155/2018/5262745
© 2018 Yu Yamada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.