Aortic aneurysm formation five decades after tetralogy of Fallot repair.
Surgical repair of tetralogy of Fallot is recognized as one of the most successful palliative cardiac surgical procedures. We report a patient in whom cystic medial necrosis developed 50 years after tetralogy of Fallot repair that caused a pathologic ascending aortic aneurysm requiring operative repair. Thus, long-term clinical follow-up along with echocardiography, when indicated, is mandatory in patients undergoing tetralogy of Fallot repair.
Dimitrakakis
George
G
Cardiothoracic Unit, University Hospital of Wales, Cardiff, United Kingdom.
Von Oppell
Ulrich
U
Bosanquet
David
D
Wilson
Dirk
D
Luckraz
Heyman
H
D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D013348:Subclavian Artery / Q000473:pathology; D013771:Tetralogy of Fallot / Q000601:surgery*; D017540:Tunica Media / Q000473:pathology