This is a case report of a 39-year-old patient with a history of recurrent angina since her childhood, who was diagnosed with a endocarditis complicated by pseudoaneurysm. The pseudoaneurysm is a rare complication. We report the case of a pseudo aneurysm of the right coronary sinus fistulized into the left ventricle complicating a surgically treated aortic infective endocarditis.
Long-term survival of patients with partial atrioventricular septal defect (PAVSD) without operative therapy is very rare. We report the case of an 80-year-old woman who presented with dyspnea, palpitations, and deteriorating general condition and was diagnosed by routine echocardiography.
Background
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. The surgical approach to TOF continues to evolve, with many centers now favoring early repair for TOF. This study aimed to determine the prevalence of postsurgical complications such as pulmonary insufficiency, residual pulmonary stenosis, and interventricular communication.
Methodology
We conducted a cross-sectional, observational study with a descriptive and analytic focus involving 61 patients who were operated on for TOF.
Results
In total, 39 (63.9%) patients had a regular TOF and 22 (36.1%) had an irregular TOF. In our study, 32 (56.14%) patients had a pulmonary insufficiency, of whom 20 had a minimal pulmonary insufficiency (62.5% of pulmonary insufficiency cases), and 79.4% of patients with right ventricular outflow tract enlargement had pulmonary insufficiency (p < 0.005). Among patients who did not have a right ventricular outflow tract enlargement, three cases of pulmonary insufficiency were identified with a prevalence of 16.6%. Six (10.52%) patients had residual pulmonary stenosis. In addition, two (3.2%) cases of minimal residual ventricular septal defects were identified in this study.
Conclusions
Postoperative complications of TOF treatment are frequent and require medical care throughout the lifetime of patients.
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