[Bentall operation after previous repair of tetralogy of Fallot].
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?
Ballore
Luca
L
Struttura Complessa di Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Michele "G. Brotzu", Cagliari.
Tramontin
Corrado
C
Manca
Paolo
P
Tocco
Stefania
S
Lixi
Giovanni
G
Matta
Gildo
G
Cirio
Emiliano Maria
EM
Martelli
Valentino
V
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*