A successful repair of aortic regurgitation and right ventricular aneurysm long after correction of tetralogy of Fallot

: Twenty-seven years after correction of tetralogy of Fallot, a 35-year-old man, suffered from dyspnea on effort and palpitations, underwent repair of aortic regurgitation and right ventricular aneurysm. Aortic regurgitation was due to a perforation at the base of the right coronary cusp, probably caused during the initial VSD patch closure, and it was repaired by suture. The right ventricular aneurysm was excised and the defect was closed directly. After operation, only slight aortic regurgitation was observed and premature ventricular contractions, presumably related to right ventricular aneurysm, were decreased markedly. His postoperative course has been uneventful and satisfactory for these 15 months.