Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report
Abstract Background 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 necess...
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| Language: | English |
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Japan Surgical Society
2020-07-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00935-5 |
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| author | Yosuke Nishimura Toru Yasutsune Shohei Shimajiri Yuki Jinzai Eigo Ikushima Takehiro Kishigami Tomoya Takigawa |
| author_facet | Yosuke Nishimura Toru Yasutsune Shohei Shimajiri Yuki Jinzai Eigo Ikushima Takehiro Kishigami Tomoya Takigawa |
| author_sort | Yosuke Nishimura |
| collection | DOAJ |
| description | Abstract Background 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. Case presentation 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. Conclusions 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 essential in patients with TOF. |
| format | Article |
| id | doaj-art-4e272e036e474a4189687fc26e87adca |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4e272e036e474a4189687fc26e87adca2025-08-20T03:14:40ZengJapan Surgical SocietySurgical Case Reports2198-77932020-07-01611510.1186/s40792-020-00935-5Significant delayed aortic dilatation after tetralogy of Fallot repair: a case reportYosuke Nishimura0Toru Yasutsune1Shohei Shimajiri2Yuki Jinzai3Eigo Ikushima4Takehiro Kishigami5Tomoya Takigawa6Department of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthDepartment of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthDepartment of Surgical Pathology, School of Medicine, University of Occupational and Environmental HealthDepartment of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthDepartment of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthDepartment of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthDepartment of Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental HealthAbstract Background 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. Case presentation 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. Conclusions 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 essential in patients with TOF.http://link.springer.com/article/10.1186/s40792-020-00935-5Aortic dilatationAneurysmTetralogy of Fallot |
| spellingShingle | Yosuke Nishimura Toru Yasutsune Shohei Shimajiri Yuki Jinzai Eigo Ikushima Takehiro Kishigami Tomoya Takigawa Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report Surgical Case Reports Aortic dilatation Aneurysm Tetralogy of Fallot |
| title | Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report |
| title_full | Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report |
| title_fullStr | Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report |
| title_full_unstemmed | Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report |
| title_short | Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report |
| title_sort | significant delayed aortic dilatation after tetralogy of fallot repair a case report |
| topic | Aortic dilatation Aneurysm Tetralogy of Fallot |
| url | http://link.springer.com/article/10.1186/s40792-020-00935-5 |
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