Heart, Lung and Circulation
Volume 18, Issue 6 , Pages 410-412, December 2009

Hybrid Procedure for Acute Severe Aortic Regurgitation in an Uncorrected Adult Tetralogy of Fallot

Department of Pediatric and Congenital Cardiac Services, Greenlane Starship Childrens Hospital, Grafton, Auckland, New Zealand

Received 5 March 2008; received in revised form 21 July 2008; accepted 31 October 2008.

Adult survivors of surgically uncorrected complex tetralogy of Fallot [TOF] with multiple aorto-pulmonary coronary arteries [MAPCAs] are unusual and the development of severe aortic regurgitation [AR] due to endocarditis is a rare and difficult problem to manage. We report a successful hybrid approach utilising temporary balloon occlusion of the collaterals during the cross-clamp time as a strategy to allow adequate brain perfusion and safe aortic root replacement.

Keywords: Tetralogy of Fallot, Endocarditis, Aortic root, Collateral blood flow

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PII: S1443-9506(08)00935-9

doi:10.1016/j.hlc.2008.10.017

Heart, Lung and Circulation
Volume 18, Issue 6 , Pages 410-412, December 2009

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