Bentall operation after previous repair of tetralogy of Fallot
Ballore, L.; Tramontin, C.; Manca, P.; Tocco, S.; Lixi, G.; Matta, G.; Cirio, E.M.; Martelli, V.
Giornale Italiano di Cardiologia 8(4): 257-259
2007
ISSN/ISBN: 1827-6806 PMID: 17506297 Document Number: 605228
Pathologies that involve the ascending aorta are described in case reports of patients after complete repair of tetralogy of Fallot. Here, we present a case report. Preoperative tests showed an aortic ratio of > 1.5. The patient was operated on replacement of the ascending aorta according to the Bentall technique. At present, the guidelines for replacement of the ascending aorta recommend an aortic ratio of > 1.5 and in case of Marfan syndrome of > 1.3. In these patient subsets, cystic medial necrosis and an increased risk of aortic dissection have been described. Therefore, as for Marfan syndrome, why an aortic ratio of >1.3 should not be considered a proper surgical indication also for these patients?