Surgical Treatment of Tetralogy of Fallot with Pulmonary Valve Agenesis in a 22 Years Old Patient

P. S. Ba, Kabulo Yannick, M. Diop, Papa Amath Diagne, N. F. Sow, P. A. Dieng, A. G. Ciss
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Abstract

Agenesis of pulmonary valve is a rare variant and severe form of Tetralogy of Fallot (ToF). The evolution is usually marked by respiratory and cardiac failure at early age, which needs early surgical correction. Uncorrected treatment of Tetralogy of Fallot diagnosed at adult age is infrequent and only few studies have been described. We present here a rare case of a 22 years old patient who presented with dyspnea since childhood. Subsequent investigations allowed diagnosis of treatment of Tetralogy of Fallot with agenesis of the pulmonary valve. Following the assessment, the patient underwent a surgical repair and the recovery was uneventful. The management of treatment of Tetralogy of Fallot with pulmonary valve agenesis in adult period remains complex, requiring different surgical techniques.
22岁法洛四联症合并肺动脉瓣发育不全1例的外科治疗
肺动脉瓣发育不全是法洛四联症(ToF)的一种罕见变体和严重形式。这种演变通常以早期呼吸和心脏衰竭为标志,需要早期手术矫正。在成年诊断的法洛四联症不正确的治疗是罕见的,只有少数研究被描述。我们在这里提出一个罕见的病例22岁的病人谁提出的呼吸困难,因为童年。随后的调查允许诊断治疗法洛四联症伴肺动脉瓣发育不全。在评估之后,患者接受了手术修复,恢复顺利。法洛四联症合并成年期肺动脉瓣发育不全的治疗仍然复杂,需要不同的手术技术。
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