Occurrence of an ascending aorta aneurysm 25 years after cure of a tetralogy of Fallot.
The patient, who had undergone a complete cure of a tetralogy of Fallot 25 years previously, was discovered to have an ascending aorta aneurysm on echography. Bentall's procedure was carried-out, using a modified indirect coronary artery transplantation based on the Cabrol technique. As reported in the literature complications are mainly right sided and less frequently occur on the left side in this disease. Including the hypothesis of the overload volume which may provoke aortic root dilation, there is also an intrinsic pathology of the media which could often be related to embryogenesis abnormalities, i.e., abnormal migration of cardiac neural crest cells which may explain this condition.
Roux
Nicolas
N
Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, Rouen, France. nicolas.roux@chu-rouen.fr
Doguet
Fabien
F
Litzler
Pierre-Yves
PY
Tabley
Alfred
A
Adde
Jean-Michel
JM
Fournier
Jean-François
JF
Redonnet
Michel
M
Bizet
Catherine Nafeh
CN
Bouchart
François
F
Hubscher
Catherine Haas
CH
Bessou
Jean-Paul
JP
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D001011:Aorta / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003331:Coronary Vessels / Q000601:surgery; D005260:Female; D006801:Humans; D012307:Risk Factors; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors; D014463:Ultrasonography
D000319:Adrenergic beta-Antagonists