title: Ascending aortic aneurysm following aortico-ventricular tunnel repair.
abstract: Aortico-left ventricular tunnel is a very rare congenital anomaly. An 18-year-old boy had undergone tunnel closure at 3 years of age. A moderate degree of aortic regurgitation remained postoperatively. Seven years later, aortic valve replacement for aortic regurgitation was performed. Eight years later, the ascending aortic aneurysm had grown to 63 mm in diameter. This dilatation became an operative indication. Ascending aortic replacement was performed with a Dacron graft. Pathological examination of the resected aortic wall revealed cystic medial degeneration. We report a rare case of ascending aortic aneurysm following surgical repair of the aortico-left ventricular tunnel and aortic valve replacement.
authors.affiliation: Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Sakurai
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Takahara
authors.forename: Shigeyasu
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Mogi
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000002:abnormalities* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D050792:Circulatory Arrest, Deep Hypothermia Induced; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation