Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Aortic Root and Ascending Aortic Aneurysm in an Adult with a Repaired Tetralogy of Fallot

  • Kim, Tae-Sik (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital) ;
  • Na, Chan-Young (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital) ;
  • Baek, Jong-Hyun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital) ;
  • Yang, Jin-Sung (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital)
  • Received : 2011.02.18
  • Accepted : 2011.05.31
  • Published : 2011.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

Surgical repair of the tetralogy of Fallot is one of the most successful operations in the treatment of congenital heart diseases. We report the case of a 65-year-old man who had an aortic valve replacement at the time of complete repair of the tetralogy of Fallot at the age of forty-three. He subsequently had progressive aortic root and ascending aorta dilation to 9 cm. The aortic root and ascending aorta replacement was done using a composite valve-graft and was performed along with other procedures. Thus, meticulous follow-up of aortic root and ascending aorta after corrective surgery for tetralogy of Fallot is recommended following initial curative surgery.

Keywords

References

  1. Dodds GA 3rd, Warnes CA, Danielson GK. Aortic valve replacement after repair of pulmonary atresia and ventricular septal defect or tetralogy of Fallot. J Thorac Cardiovasc Surg 1997;113:736-41. https://doi.org/10.1016/S0022-5223(97)70232-0
  2. Niwa K, Siu SC, Webb GD, Gatzoulis MA. Progressive aortic root dilatation in adults late after repair of tetralogy of Fallot. Circulation 2002;106:1374-8. https://doi.org/10.1161/01.CIR.0000028462.88597.AD
  3. Tan JL, Davlouros PA, McCarthy KP, Gatzoulis MA, Ho SY. Intrinsic histological abnormalities of aortic root and ascending aorta in tetralogy of Fallot: evidence of causative mechanism for aortic dilatation and aortopathy. Circulation 2005;112:961-8. https://doi.org/10.1161/CIRCULATIONAHA.105.537928
  4. Rathi VK, Doyle M, Williams RB, Yamrozik J, Shannon RP, Biederman RW. Massive aortic aneurysm and dissection in repaired tetralogy of Fallot; diagnosis by cardiovascular magnetic resonance imaging. Int J Cardiol 2005;101:169-70. https://doi.org/10.1016/j.ijcard.2004.05.037
  5. Kim WH, Seo JW, Kim SJ, Song J, Lee J, Na CY. Aortic dissection late after repair of tetralogy of Fallot. Int J Cardiol 2005;101:515-6. https://doi.org/10.1016/j.ijcard.2004.03.026

Cited by

  1. Combined Rastelli procedure with supra-coronary ascending aorta replacement vol.31, pp.3, 2011, https://doi.org/10.1017/s1047951120004163