A 51 male, affected
by Tetralogy of Fallot, underwent a left Blalock-Taussig anastomosis at the age
of two years and an aorto - right pulmonary artery tube graft when 8 years old.
Complete surgical correction was performed at age 21 with closure of the
ventricular septal defect and a large patch over the right outflow tract, shunts
were discontinued. Then it was well up to 51 years old when he began to suffer
shortness of breath with minimal exertion. A typical atrial flutter of the
common type was diagnosed and a cavo-tricuspid isthmus ablation was
successfully performed. Echocardiographic and magnetic resonance imaging and ergospirometry
provided complete informations on anatomic and hemodynamic conditions but no
other interventional procedure was necessary.
Credits: Alberto Cresti; Francesco De Sensi; Gennaro Miracapillo; Ait-Ali Lamia; Pierluigi Festa.