An adult patient with tetralogy of Fallot and anomalous left anterior descending artery after conduit type of repair (RCD code: IV‑2A.1)

Monika Smaś‑Suska, Lidia Tomkiewicz‑Pajak, Leszek Drabik, Maria Olszowska, Natalia Dłużniewska, Piotr Podolec

Full Text:



Tetralogy of Fallot is one of the most common cyanotic congenital cardiac disease concerning 10% newborn with congenital heart failures. About 3% of those patients have anomalous left anterior descending coronary artery. We report a case of 21 – year – old patient with tetralogy of Fallot and with coronary artery abnormality after staged cardiac surgeries. Due to an anomalous coronary artery, crossing the right ventricule outflow tract, the patient needed to conduit type of repair. JRCD 2014; 1 (8): 19–26


tetralogy of Fallot, valveless conduit, coronary artery anomaly


Podolec P. Rare cardiovascular diseases from classification to clinical examples. J Rare Cardiovasc Dis 2013; 2: 3–4.

Olszowska M. Wady serca u dorosłych. Termedia 2011.

Rastelli GC, Ongley PA, Davis GD, et al. Surgical repair for pulmonary valve atresia with coronary – pulmonary artery fistula: report of case. Mayo Clin Proc. 1965; 40: 521–527.

Ross DN, Somerville J. Correction of pulmonary atresia with a homograft aortic valve. Lancet. 1966; 2: 1446–1447.

Martins JDF, Ewert P, de Sousa L, et al. Percutaneous pulmonary valve implantation: Initial experience. Rev Port Cardiol 2010; 29: 1839–1846.

Deanfield J, Thaolow E, Warnes C, et al. Management of grown up congenital heart disease. Eur Heart J 2003; 24: 1035–1084.

Tweddell JS, Pelech AN, Frommelt PC, et al. Factors affecting longevity of homograft valves used in right ventricular outflow tract reconstruction for congenital heart disease. Circulation. 2000; 102 (suppl 3): III-130–III-135.

Aggarwal S, Garekar S, Forbes TJ, Turner DR. Is stent placement effective for palliation of right ventricle to pulmonary artery conduit stenosis? J Am Coll Cardiol. 2007; 49: 480–184.

Peng LF, McElhinney DB, Nugent AW, et al. Endovascular stenting of obstructed right ventricle-to-pulmonary artery conduits: a 15-year experience. Circulation. 2006; 113: 2598–2605.

Diller GP, Dimopoulos K, Okonko D, et al. Exercise intolerance in adult congenital heart disease: comparative severity, correlates, and prognostic implication. Circulation 2005; 112: 828–835.

Sugiyama H, Williams W, Benson LN. Implantation of endovascular stents for the obstructive right ventricular outflow tract. Heart 2005; 91: 1058 – 1063.

Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC Guidelines for the management of grown-up congenital heart disease. Eur Heart J 2010; 31: 2915–2957.

Eicken A, Ewert P, Hager A. Percutaneous pulmonary valve implantation: two-centre experience with more than 100 patients. Eur Heart J 2011; 32: 1260–1265.

Demkow M, Biernacka EK, Spiewak M. Percutaneous pulmonary valve implantation preceded by routine prestenting with a bare metal stent. Catheter Cardiovasc Interv, 2011; 77: 381–389

Lurz P, Nordmeyer J, Muthurangu V, et al. Comparison of bare metal stenting and percutaneous pulmonary valve implantation for treatment of right ventricular outflow tract obstruction: use of an x-ray/magnetic resonance hybrid laboratory for acute physiological assessment. Circulation. 2009; 119: 2995–3001.



  • There are currently no refbacks.
Journal of Rare Cardiovascular Diseases (JRCD)
John Paul II Hospital in Kraków, 80 Prądnicka Str., 31-202 Kraków, Poland
Phone: +48 (12) 614 33 99, +48 (12) 614 34 88 Fax: +48 (12) 614 34 88
Published by SoftQ sp. z o.o.
ul. Oleandry 2, 30-063 Kraków, Poland
Phone: +48 (12) 444 1650 Fax: +48 (12) 444 1659