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

Gen Thorac Cardiovasc Surg. 2020 Aug;68(8):858-861. doi: 10.1007/s11748-019-01193-5. Epub 2019 Aug 26.

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.

Keywords: Adult congenital heart disease; Aortic valve replacement; Aortopulmonary collateral arteries; Infective endocarditis; Tetralogy of Fallot with pulmonary atresia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve / microbiology*
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / complications
  • Aortic Valve Insufficiency / surgery*
  • Blalock-Taussig Procedure
  • Collateral Circulation
  • Endocarditis
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / surgery*
  • Heart Defects, Congenital / complications
  • Heart Valve Diseases / complications
  • Heart Valve Prosthesis
  • Heart Ventricles / physiopathology
  • Humans
  • Lung Diseases / complications
  • Male
  • Postoperative Complications
  • Pulmonary Artery / abnormalities
  • Pulmonary Atresia / surgery*
  • Pulmonary Circulation
  • Tetralogy of Fallot / surgery*
  • Treatment Outcome