title: Combined Rastelli and Bentall Procedures for Pulmonary Atresia With Ventricular Septal Defect and a Large Aortopulmonary Collateral Artery and Ascending Aorta Aneurysm.
abstract: We report a challenging case of a 32-year-old patient in New York Heart Association (NYHA) class IV with pulmonary atresia, ventricular septal defect, a left aortopulmonary collateral artery, a right modified Blalock-Taussing shunt, and a gigantic aneurysm of the ascending aorta with severe aortic valve insufficiency. A combined Rastelli and Bentall procedure was performed by a joint adult and pediatric cardiovascular surgery team. One year after the operation, the patient is in NYHA class I, working full time.
authors: Services of Pediatric Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina benchiostri@gmail.com.
authors: Benjamin
authors: B
authors: Chiostri
authors: Adult Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Fernando
authors: F
authors: Piccinini
authors: Adult Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Mariano
authors: M
authors: Vrancic
authors: Services of Pediatric Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Daniel
authors: D
authors: Klinger
authors: Adult Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Daniel
authors: D
authors: Navia
authors: Cardiology, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Nicolas
authors: N
authors: Lalor
authors: Cardiology, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Francisco
authors: F
authors: Longo
authors: Services of Pediatric Cardiac Surgery, Sanatorio Anchorena, Buenos Aires, Argentina.
authors: Christián
authors: C
authors: Kreutzer
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D000792:Angiography; D001013:Aorta, Thoracic / Q000002:abnormalities*; D017545:Aortic Aneurysm, Thoracic / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003097:Collateral Circulation; D006343:Heart Septal Defects / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000601:surgery*; D013902:Radiography, Thoracic
keywords: Bentall; Rastelli; ascending aorta aneurysm; pulmonary atresia