Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Dec 26, 2023; 15(12): 642-648
Published online Dec 26, 2023. doi: 10.4330/wjc.v15.i12.642
Pulmonary and tricuspid regurgitation after Tetralogy of Fallot repair: A case report
Jing-Yi Cao, Xiao-Ping Ning, Guang-Wei Zhou, Bai-Ling Li, Fan Qiao, Lin Han, Zhi-Yun Xu, Fang-Lin Lu
Jing-Yi Cao, Xiao-Ping Ning, Guang-Wei Zhou, Bai-Ling Li, Fan Qiao, Lin Han, Zhi-Yun Xu, Fang-Lin Lu, Department of Cardiovascular Surgery, Changhai Hospital, Shanghai 200433, China
Fang-Lin Lu, Department of Cardiovascular Surgery, Shanghai General Hospital, Shanghai 200080, China
Co-first authors: Jing-Yi Cao and Xiao-Ping Ning.
Author contributions: Cao JY and Ning XP contributed to manuscript writing and editing, and data collection; Zhou GW contributed to image analysis; Li BL contributed to postoperative care and management; Qiao F, Han L, and Lu FL contributed to finishing the surgery; Xu ZY and Lu FL contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 82170376.
Informed consent statement: The patient’s guardian provided informed written consent for the publication of the study data.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fang-Lin Lu, MD, PhD, Department of Cardiovascular Surgery, Changhai Hospital, No. 168 Changhai Road, Shanghai 200433, China. drlufanglin@yeah.net
Received: August 1, 2023
Peer-review started: August 1, 2023
First decision: October 24, 2023
Revised: November 13, 2023
Accepted: December 11, 2023
Article in press: December 11, 2023
Published online: December 26, 2023
Processing time: 146 Days and 9.5 Hours
Core Tip

Core Tip: Tetralogy of Fallot (TOF) is a common congenital heart disease. Complications following TOF repair, including pulmonary regurgitation, tricuspid regurgitation (TR), and cardiac arrhythmia, can have a negative impact on the prognosis. In this case, the patient had been treated with percutaneous pulmonary valve implantation after TOF repair, but developed TR progression and was treated with transcatheter tricuspid valve replacement. No standardized treatment guidelines for similar patients exist, and the timing and modalities of treatment remain controversial. Therefore, whether patients who develop both types of valve regurgitation after TOF repair should be treated simultaneously or sequentially is important. A treatment plan should be developed based on the patient’s overall condition, with interventional techniques being the optimal option for patients with poor baseline conditions.