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A case of pulmonary stenosis after a repair for tetralogy of Fallot treated with percutaneous pulmonary valvuloplasty using a triple-balloon technique.

Abstract：

:The patient was a 37-year-old female who had undergone a repair for tetralogy of Fallot (TOF) at the age of 4 years. Postoperative pulmonary stenosis remained, but she continued to be managed medically. Approximately 3 years ago, at the age of 34, she exhibited a worsening of fatigue and dyspnea during exertion (New York Heart Association III), and was therefore hospitalized for a detailed examination. In cardiac catheterization, a right ventricle to pulmonary artery peak-to-peak gradient of about 90 mmHg was observed. Since it appeared that medical treatment alone would not sufficiently control her heart failure, pulmonary valvuloplasty using a triple-balloon technique was performed for the pulmonary stenosis. The peak-to-peak gradient immediately after the procedure decreased to 13 mmHg. There were no indications of restenosis approximately 6 months after the procedure, and the symptoms of heart failure in her daily life improved thereafter.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Fujii A,Funada J,Morioka N,Hashida H,Iwata T,Higaki T

doi

10.1016/j.jjcc.2009.04.004

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

130-4

issue

1

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(09)00128-2

journal_volume

55

pub_type

杂志文章

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