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After correction of tetralogy of Fallot, carried out at age 19, with expansion of the right ventricle outflow tract, pulmonary valvotomy and closure of the ventricular septal defect, pulmonary valve stenosis at a small pulmonary annulus and atrial septal defect deliberately remained as residual defects. Still, a good evolution lasted for 28 years, when the first complication emerged, with paradoxical cerebral embolism with a mild stroke, with no sensory or motor effects. Moreover, a year ago there was arrhythmic complication by atrial fibrillation with fast heart rate, reverted with amiodarone and electrical shock. Recently, new atrial fibrillation, but with low ventricular rate (50 to 60 bpm) and arterial desaturation (70%), after walking a few minutes, have motivated diagnostic investigation and more accurate conduct.

arquivos brasileiros de cardiologia

Caso 4/2011 - homem de 49 anos com estenose pulmonar valvar e comunicação interatrial como lesões residuais após correção de tetralogia de Fallot, ocorrida há 30 anos