A case report of Tetralogy of Fallot in the adult with severe congestive heart failure

Hideyuki Shimizu, M. Okura, T. Misumi, T. Sakai, S. Takeuchi

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Abstract

We operated on a 47-year-old male for Tetralogy of Fallot with severe right heart dysfunction (RVEF 25%, RVEDP 15 mmHg, massive TR) and right heart failure (ascites and edema). The operation was completed successfully. However, persistent severe arrhythmia occurred in the CCU and assisted circulation was used for 6 days until the patient's condition stabilized. Arrhythmia diminished and hemodynamic status improved gradually. The patient improved sufficiently to be able to eat and read books. Unfortunately, he died of sudden ventricular arrhythmia on 69 POD. It was suspected that the right ventricle in this case had deteriorated beyond the threshold for surviving the radical operation for Tetralogy of Fallot.

Original languageEnglish
Pages (from-to)391-394
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume47
Issue number5
Publication statusPublished - 1994 May
Externally publishedYes

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Tetralogy of Fallot
Cardiac Arrhythmias
Heart Failure
Assisted Circulation
Ascites
Heart Ventricles
Edema
Hemodynamics

ASJC Scopus subject areas

  • Medicine(all)

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A case report of Tetralogy of Fallot in the adult with severe congestive heart failure. / Shimizu, Hideyuki; Okura, M.; Misumi, T.; Sakai, T.; Takeuchi, S.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 47, No. 5, 05.1994, p. 391-394.

Research output: Contribution to journalArticle

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