title: [Bentall operation after previous repair of tetralogy of Fallot].
abstract: Pathologies that involve the ascending aorta are described in case reports of patients after complete repair of tetralogy of Fallot. Here, we present a case report. Preoperative tests showed an aortic ratio of > 1.5. The patient was operated on replacement of the ascending aorta according to the Bentall technique. At present, the guidelines for replacement of the ascending aorta recommend an aortic ratio of > 1.5 and in case of Marfan syndrome of > 1.3. In these patient subsets, cystic medial necrosis and an increased risk of aortic dissection have been described. Therefore, as for Marfan syndrome, why an aortic ratio of >1.3 should not be considered a proper surgical indication also for these patients?
authors.affiliation: Struttura Complessa di Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Michele "G. Brotzu", Cagliari.
authors.forename: Luca
authors.initials: L
authors.lastname: Ballore
authors.forename: Corrado
authors.initials: C
authors.lastname: Tramontin
authors.forename: Paolo
authors.initials: P
authors.lastname: Manca
authors.forename: Stefania
authors.initials: S
authors.lastname: Tocco
authors.forename: Giovanni
authors.initials: G
authors.lastname: Lixi
authors.forename: Gildo
authors.initials: G
authors.lastname: Matta
authors.forename: Emiliano Maria
authors.initials: EM
authors.lastname: Cirio
authors.forename: Valentino
authors.initials: V
authors.lastname: Martelli
mesh_terms: D001011:Aorta / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D008875:Middle Aged; D013771:Tetralogy of Fallot / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*