Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report

Surgical Case Reports
Yosuke NishimuraTomoya Takigawa

Abstract

Aortic dilatation may occur in some patients even after complete repair of tetralogy of Fallot (TOF). The progression rate of the aortic diameter is so slow, and the incidence of aortic dissection is so low that it is suspected that frequent imaging of the aorta may not be necessary. We describe an asymptomatic 41-year-old man with hypertension in whom aortic dilatation was accidentally discovered 39 years after TOF repair. He underwent ambulatory follow-up without any difficulty for 21 years after the repair. Contrast-enhanced computed tomography revealed significant aortic dilatation (maximum diameter of 88 mm at the sinus of Valsalva), and echocardiography revealed severe aortic regurgitation, which seemed to progress during the last 18 years without any evaluation or follow-up. The Bentall procedure was successfully performed using a valved graft, under deep hypothermic circulatory arrest with antegrade cerebral perfusion, and his postoperative course was uneventful. Histopathological examination of ascending aorta specimens revealed severe cystic medial degeneration. Keeping in mind that a patient with rapid progression of the aortic dilatation after TOF repair exist, periodic follow-up for evaluation of the aorta is essen...Continue Reading

References

Apr 30, 2005·International Journal of Cardiology·Vikas K RathiRobert W W Biederman
May 24, 2005·International Journal of Cardiology·Woong-Han KimChan-Young Na
Jan 9, 2008·The Journal of Thoracic and Cardiovascular Surgery·Ujjwal K ChowdhuryPanangipalli Venugopal
Aug 3, 2010·The Journal of Thoracic and Cardiovascular Surgery·Igor E KonstantinovTerry Robertson
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·John M StulakHartzell V Schaff
Sep 19, 2012·International Journal of Cardiology·W Aaron KayCurt J Daniels
Dec 12, 2012·Circulation·François-Pierre MongeonUNKNOWN Alliance for Adult Research in Congenital Cardiology (AARCC)
Sep 18, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Atsushi MizunoKei Inai
May 6, 2014·International Journal of Cardiology·Vishva A WijesekeraAmanda J Barlow
Oct 25, 2014·Circulation·Judith A A E CuypersJolien W Roos-Hesselink
Jan 1, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giedrius BaliulisMarkku O Kaarne
Dec 23, 2016·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Luca A Vricella, Duke E Cameron
Feb 12, 2019·Cardiovascular Diagnosis and Therapy·Koichiro Niwa
Feb 12, 2019·The Annals of Thoracic Surgery·Osamu AdachiYoshikatsu Saiki
Mar 17, 2019·General Thoracic and Cardiovascular Surgery·UNKNOWN Committee for Scientific Affairs, The Japanese Association for Thoracic SurgeryYutaka Okita

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