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Korean J Intern Med. 2012 Dec;27(4):455-8. doi: 10.3904/kjim.2012.27.4.455. Epub 2012 Nov 27.

Subaortic membrane late after surgical correction of tetralogy of Fallot.

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1
Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.

Abstract

We herein report a rare case of subaortic stenosis in association with a previous tetralogy of Fallot (TOF) surgical repair, which was not taken into account as a differential diagnosis. Echocardiography plays a pivotal role in identification of this rare combination. Therefore, echocardiography should be performed periodically during follow-up of patients with surgically corrected TOF. Given the clinical complications that can result from subaortic stenosis (i.e., aortic regurgitation and infective endocarditis), early and aggressive management of this rare combination should be performed.

KEYWORDS:

Echocardiography; Tetralogy of Fallot; Ventricular outflow obstruction

PMID:
23269888
PMCID:
PMC3529246
DOI:
10.3904/kjim.2012.27.4.455
[Indexed for MEDLINE]
Free PMC Article
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