Aortic aneurysm formation five decades after tetralogy of Fallot repair.

Dimitrakakis, George; Von Oppell, Ulrich; Bosanquet, David; Wilson, Dirk; Luckraz, Heyman · Ann Thorac Surg · 2009

case_report · Level V

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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.

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