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Transaortic Fallot repair in a grown-up patient: advantages in a situs inversus setting

Published online by Cambridge University Press:  06 March 2012

Juan-Miguel Gil-Jaurena ,
Joaquín Cano  and
Victorio Cuenca
Juan-Miguel Gil-Jaurena*
Affiliation:
Cardiac Surgery, Hospital Carlos Haya, Málaga, Spain
Joaquín Cano
Affiliation:
Pediatric Cardiology, Grown Up Congenital Heart Unit, Hospital Carlos Haya, Málaga, Spain
Victorio Cuenca
Affiliation:
Pediatric Cardiology, Grown Up Congenital Heart Unit, Hospital Carlos Haya, Málaga, Spain
*
Correspondence to: Dr J-M Gil-Jaurena, Cardiovascular Surgery, Hospital Carlos Haya, Av Carlos Haya, Málaga 29011, Spain; E-mail: giljaurena@gmail.com
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Abstract

We present the case studies of two adult patients with tetralogy of Fallot who were scheduled for surgery. After addressing the right ventricular outflow tract obstruction, the aorta was opened and the ventricular septal defect was approached in a straightforward manner as it was located just under the overriding aortic valve. The second patient presented with was a situs inversus, dextroapex Fallot. In this setting, the aortic approach simplified the repair expeditiously. After 2 years, both patients are in New York Heart Association class I, with no residual ventricular septal defect, no aortic regurgitation, and complete relief of right ventricular outflow tract obstruction.

Keywords

Fallotgrown-upaortic repairsitus inversus
Type
Brief Report
Information
Cardiology in the Young , Volume 22 , Issue 5 , 13 September 2012 , pp. 603 - 605
Copyright
Copyright © Cambridge University Press 2012

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References

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