Trans-radial approach for coronary angiography in an adult postoperative patient with tetralogy of Fallot with complex anatomy. (14th May 2015)

• Record Type: Journal Article
• Authors: Rahman, Nasir; Gul, Ibrahim; Ali, Ashique
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-05-14
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-207407
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 42-year-old, postoperative patient with tetralogy of Fallot (TOF) with right-sided aortic arch, presented with heart failure secondary to left ventricular dysfunction, severe valvular regurgitation and residual ventricular septal defect (VSD). After initial stabilisation, he underwent successful coronary angiography through a trans-radial approach followed by aortic valve replacement, pulmonary valve and VSD repair, and was discharged home in stable condition. This case report highlights the trans-radial approach as a feasible option for coronary angiography in postoperative patients with TOF with right-sided aortic arch.