Aortic aneurysm formation five decades after tetralogy of Fallot repair

Ann Thorac Surg. 2009 Sep;88(3):1000-1. doi: 10.1016/j.athoracsur.2009.02.029.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Thoracic / pathology
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / pathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / pathology
  • Aortic Valve Insufficiency / surgery
  • Bioprosthesis*
  • Blood Vessel Prosthesis Implantation*
  • Echocardiography
  • Female
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation*
  • Humans
  • Magnetic Resonance Imaging
  • Necrosis
  • Postoperative Complications / diagnosis
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery*
  • Reoperation / methods
  • Subclavian Artery / pathology
  • Tetralogy of Fallot / surgery*
  • Tunica Media / pathology