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Aortic valve replacement for infective endocarditis in an adult with uncorrected tetralogy of Fallot and pulmonary atresia

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Abstract

Infective endocarditis is one of the complications encountered in patients with uncorrected tetralogy of Fallot; however, there have been only limited reports on surgical treatment of this condition. A 38-year-old man with uncorrected tetralogy of Fallot with pulmonary atresia previously palliated with modified Blalock–Taussig shunt was diagnosed with aortic valve infective endocarditis and developed severe aortic regurgitation. He underwent urgent aortic valve replacement, during which intermittent hypothermic circulatory arrest was necessary to achieve adequate myocardial protection and bloodless surgical field due to massive arterial return into the left ventricle from the collateral pulmonary circulation.

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Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie Prefecture, 514-8507, Japan

    Shuhei Toba, Hisato Ito, Ayano Futsuki, Naoki Yamamoto, Takeshi Konuma, Motoshi Takao & Hideto Shimpo

  2. Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie Prefecture, 514-8507, Japan

    Yoshito Ogihara

Authors
  1. Shuhei Toba
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  2. Hisato Ito
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  3. Ayano Futsuki
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  4. Naoki Yamamoto
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  5. Takeshi Konuma
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  6. Motoshi Takao
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  7. Yoshito Ogihara
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  8. Hideto Shimpo
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Correspondence to Shuhei Toba.

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Toba, S., Ito, H., Futsuki, A. et al. Aortic valve replacement for infective endocarditis in an adult with uncorrected tetralogy of Fallot and pulmonary atresia. Gen Thorac Cardiovasc Surg 68, 858–861 (2020). https://doi.org/10.1007/s11748-019-01193-5

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  • DOI: https://doi.org/10.1007/s11748-019-01193-5

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