Pulmonary Valve Insufficiency as a Complication of Radical Surgical Treatment of Tetralogy of Fallot - - - Insuficijencija pulmonalnog zalistka kao komplikacija radikalnog hirurškog tretmana tetralogije Fallot
Journal Title: Acta Facultatis Medicae Naissensis - Year 2017, Vol 34, Issue 2
Abstract
Tetralogy of Fallot is the most common cyanogenic congenital heart defect. The diagnosis is based on clinical signs, ECG examination, ultrasound examination of the heart, additional imaging methods and invasive testing. The therapeutic approach to the patient with tetralogy is complex and based on conservative and radical methods. Patients who have not undergone a radical surgical intervention have a poor prognosis, whereas the prognosis is much better for patients who have been operated. The most common complication of the surgical treatment is the pulmonary valve insufficiency which usually requires reintervention, as was the case with our patient. - - - Tetralogija Fallot predstavlja najčešću cijanogenu urođenu srčanu manu. Dijagnoza se bazira na klini-čkoj slici, EKG pregledu, ultrazvučnom pregledu srca, dodatnim imidžing metodama i invazivnom ispitivanju. Terapijski pristup bolesniku sa tetralogijom je kompleksan i zasniva se na konzvervativnim i radikalnim metodama. Bolesnici koji nisu podvrgnuti radikalnoj hirururškoj intervenciji imaju lošu prognozu, dok je prognoza operisanih neuporedivo bolja. Najčešća komplikacija hirurškog tretmana je insuficijencija plućnog zalistka koja obično zahteva reintervenciju, kao što je to bio slučaj kod našeg bolesnika.
Authors and Affiliations
Milovan Stojanović, Marina Deljanin-Ilić, Aleksa Vuković, Dejan Petrović
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