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