Complete percutaneous repair of Tetralogy of Fallot in adult: a case report
Abstract Tetralogy of Fallot (TOF) is the most common congenital cyanotic heart disease and is characterized by an antero-superior deviation of the infundibular septum with a consequent large malaligned ventricular septal defect (VSD) and a pulmonary and sub-pulmonary (infundibular) stenosis. Surgic...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | Journal of Cardiothoracic Surgery |
| Online Access: | https://doi.org/10.1186/s13019-024-03172-1 |
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| author | Asit Das Gaurav Lakhani Debdatta Kar Lopamudra Mishra Nur Nabab Mollah Shubham Tewary |
| author_facet | Asit Das Gaurav Lakhani Debdatta Kar Lopamudra Mishra Nur Nabab Mollah Shubham Tewary |
| author_sort | Asit Das |
| collection | DOAJ |
| description | Abstract Tetralogy of Fallot (TOF) is the most common congenital cyanotic heart disease and is characterized by an antero-superior deviation of the infundibular septum with a consequent large malaligned ventricular septal defect (VSD) and a pulmonary and sub-pulmonary (infundibular) stenosis. Surgical repair has been the cornerstone of treatment that is electively performed early in their lives between 3 and 6 months of age. With advancements in transcatheter interventions, the complete percutaneous repair of TOF, a complex disease with multiple treatable lesions, is becoming a conceivable possibility. Here, we report the case of total transcatheter correction of an 18-year-old boy with TOF, performed in two stages. The first stage involved addressing the right ventricular outflow tract (RVOT) obstruction with balloon pulmonary valvuloplasty (BPV) and occluding the conal artery using absolute alcohol and a coil. In the second stage, the VSD was closed with a Multifunctional Occluder (MFO) Konar device 14 –12 mm (Lifetech, China). While surgical treatment remains the gold standard for total correction of TOF, the transcatheter approach can also be considered for selected group of patients who are surgically turned-down. |
| format | Article |
| id | doaj-art-bfd2c60c92a146ae8bdbd6072d08c0d8 |
| institution | OA Journals |
| issn | 1749-8090 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-bfd2c60c92a146ae8bdbd6072d08c0d82025-08-20T01:57:12ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911710.1186/s13019-024-03172-1Complete percutaneous repair of Tetralogy of Fallot in adult: a case reportAsit Das0Gaurav Lakhani1Debdatta Kar2Lopamudra Mishra3Nur Nabab Mollah4Shubham Tewary5Department of Cardiology, IPGMER and SSKM HospitalDepartment of Cardiology, IPGMER and SSKM HospitalDepartment of Cardiology, IPGMER and SSKM HospitalDepartment of Cardiology, IPGMER and SSKM HospitalDepartment of Cardiology, IPGMER and SSKM HospitalDepartment of Cardiology, IPGMER and SSKM HospitalAbstract Tetralogy of Fallot (TOF) is the most common congenital cyanotic heart disease and is characterized by an antero-superior deviation of the infundibular septum with a consequent large malaligned ventricular septal defect (VSD) and a pulmonary and sub-pulmonary (infundibular) stenosis. Surgical repair has been the cornerstone of treatment that is electively performed early in their lives between 3 and 6 months of age. With advancements in transcatheter interventions, the complete percutaneous repair of TOF, a complex disease with multiple treatable lesions, is becoming a conceivable possibility. Here, we report the case of total transcatheter correction of an 18-year-old boy with TOF, performed in two stages. The first stage involved addressing the right ventricular outflow tract (RVOT) obstruction with balloon pulmonary valvuloplasty (BPV) and occluding the conal artery using absolute alcohol and a coil. In the second stage, the VSD was closed with a Multifunctional Occluder (MFO) Konar device 14 –12 mm (Lifetech, China). While surgical treatment remains the gold standard for total correction of TOF, the transcatheter approach can also be considered for selected group of patients who are surgically turned-down.https://doi.org/10.1186/s13019-024-03172-1 |
| spellingShingle | Asit Das Gaurav Lakhani Debdatta Kar Lopamudra Mishra Nur Nabab Mollah Shubham Tewary Complete percutaneous repair of Tetralogy of Fallot in adult: a case report Journal of Cardiothoracic Surgery |
| title | Complete percutaneous repair of Tetralogy of Fallot in adult: a case report |
| title_full | Complete percutaneous repair of Tetralogy of Fallot in adult: a case report |
| title_fullStr | Complete percutaneous repair of Tetralogy of Fallot in adult: a case report |
| title_full_unstemmed | Complete percutaneous repair of Tetralogy of Fallot in adult: a case report |
| title_short | Complete percutaneous repair of Tetralogy of Fallot in adult: a case report |
| title_sort | complete percutaneous repair of tetralogy of fallot in adult a case report |
| url | https://doi.org/10.1186/s13019-024-03172-1 |
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