The Korean Journal of INternal Medicine
eISSN 2005-6648    pISSN 1226-3303
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Case report
Korean J Intern Med. 2012 ;27(4):455-458.
DOI: 10.3904/kjim.2012.27.4.455

Subaortic Membrane Late after Surgical Correction of Tetralogy of Fallot
Kyung-Hee Kim1, Hyung-Kwan Kim1, Sung-A Chang1, Seil Oh1, Kyung-Hwan Kim2, and Dae-Won Sohn1

1Department of Internal Medicine and Cardiovascular Center, 2Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea
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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 : Tetralogy of Fallot; Ventricular outflow obstruction; Echocardiography
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