Otsuka Kaishi, Kawano Hiroaki, Ishimatsu Takashi, Yoshimuta Tsuyoshi, Doi Yoshiyuki, Fukae Satoki, Koga Seiji, Ikeda Satoshi, Eishi Kiyoyuki, Maemura Koji
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
J Cardiol Cases. 2020 Oct 20;23(2):76-79. doi: 10.1016/j.jccase.2020.10.001. eCollection 2021 Feb.
A 59-year-old Japanese woman was admitted with heart failure due to severe pulmonary regurgitation and tricuspid regurgitation, in addition to atrial fibrillation 45 years after surgical correction of tetralogy of Fallot (TOF). She had been under treatment with medication and catheter ablation for arrhythmia including ventricular tachycardia for the past 28 years. She underwent pulmonary valve replacement as well as tricuspid and mitral valvuloplasty, which obviously improved her status even though her right ventricular end-diastolic volume index exceeded the recommended threshold. Patients who have undergone surgical correction of TOF need to be managed over the long term. < For a long term after surgical correction of tetralogy of Fallot (TOF), appropriate managements are needed for arrhythmia and heart failure related to heart valve disease. Even though her right ventricular end-diastolic volume index exceeded the recommended threshold by the current published guidelines, re-operation for heart valve diseases improved the present patient. We have to accumulate evidence to make useful guideline of re-operation of TOF in Japan.>.
一名59岁的日本女性因法洛四联症（TOF）手术矫正45年后出现严重肺动脉反流、三尖瓣反流以及心房颤动而导致心力衰竭入院。在过去28年里，她一直在接受包括室性心动过速在内的心律失常的药物治疗和导管消融治疗。她接受了肺动脉瓣置换术以及三尖瓣和二尖瓣成形术，尽管其右心室舒张末期容积指数超过了推荐阈值，但她的状况明显改善。接受过TOF手术矫正的患者需要长期管理。<在法洛四联症（TOF）手术矫正后的长期过程中，需要对与心脏瓣膜疾病相关的心律失常和心力衰竭进行适当管理。尽管根据目前已发表的指南，该患者的右心室舒张末期容积指数超过了推荐阈值，但心脏瓣膜疾病的再次手术改善了她的状况。我们必须积累证据，以制定日本TOF再次手术的有用指南。>
