Rahman Nasir, Gul Ibrahim, Ali Ashique
Department of Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
BMJ Case Rep. 2015 May 14;2015:bcr2014207407. doi: 10.1136/bcr-2014-207407.
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.
一名42岁的法洛四联症（TOF）合并右位主动脉弓术后患者，因左心室功能障碍、严重瓣膜反流和残余室间隔缺损（VSD）继发心力衰竭。在初步稳定病情后，他通过经桡动脉途径成功进行了冠状动脉造影，随后进行了主动脉瓣置换、肺动脉瓣和室间隔缺损修复，并在病情稳定后出院回家。本病例报告强调了经桡动脉途径作为右位主动脉弓TOF术后患者冠状动脉造影的一种可行选择。
