Unmasking the culprit: MAPCA masquerading as RV failure in post surgical correction of TOF. Issue 3 (March 2017)

• Record Type: Journal Article
• Authors: Bhalgat, Parag; Naik, Abhijeet; Someshwar, Vimal; Joshi, Suresh
• Is Part Of: Journal of cardiology cases. Volume 15:Issue 3(2017:Mar.)
• Page Start: 95
• Page End: 96
• Publication Date: 2017-03
• Subjects: Congenital heart disease -- Intervention in congenital heart disease -- Pulmonary regurgitation -- Cardiac magnetic resonance; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2016.11.007
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Pulmonary regurgitation and right ventricular dilatation are major determinants of long-term follow up of surgically corrected tetralogy of Fallot. Occasionally, there are undiagnosed associated anomalies, which can exaggerate pulmonary regurgitation. The present report describes long-term effect of major aorto pulmonary collateral on right ventricular volume also a result of successful intervention. <Learning objective: Following pulmonary valvotomy in conotruncal anomalies there is development of significant pulmonary regurgitation. On long-term follow up, they are candidates for pulmonary valve replacement. A thorough search and management of associated defects (such as major aorto pulmonary collaterals, peripheral pulmonary stenosis) can reverse right ventricular dilatation and postpone pulmonary valve placement.>