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Case Reports
. 2022 May 18;4(10):581-586.
doi: 10.1016/j.jaccas.2022.02.021.

Tetralogy of Fallot and Aortic Dissection: Implications in Management

Sumeet S Vaikunth  1 , Joshua L Chan  2 , Jennifer P Woo  1 , Michael R Bykhovsky  1 , George K Lui  1   3 , Michael Ma  2 , Anitra W Romfh  1   3 , John Lamberti  2 , Domenico Mastrodicasa  4 , Dominik Fleischmann  4 , Michael P Fischbein  2
Affiliations
Case Reports

Tetralogy of Fallot and Aortic Dissection: Implications in Management

Sumeet S Vaikunth et al. JACC Case Rep. .

Abstract

We present the case of a 61-year-old man with tetralogy of Fallot postrepair and mechanical aortic valve replacement with an aortic root/ascending/arch aneurysm with chronic type A aortic dissection. He underwent uncomplicated aortic root and total arch replacement. Continued surveillance for aortic aneurysm is necessary in the tetralogy of Fallot population. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; TOF, tetralogy of Fallot; aortic dissection; hypertension; tetralogy of Fallot.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Preoperative Computed Tomography Scan Showing Stanford Type A Aortic Dissection Extending From the Aortic Root to Arch
Figure 2
Figure 2
Preoperative Computed Tomography Scan Showing Single Coronary Artery From the Left Sinus With a Retroaortic Right Coronary Artery Course
Figure 3
Figure 3
Intraoperative Photograph Demonstrating Chronic Type A Dissection With True and False Lumens Photograph demonstrating chronic type A dissection with true (left) and false (right) lumens.
Figure 4
Figure 4
Intraoperative Photograph Demonstrating the Aortic Root With Previous Mechanical Aortic Valve and Single Coronary Artery Ostium
Figure 5
Figure 5
Postoperative Image of Redo-Aortic Root and Total Arch Replacement
Figure 6
Figure 6
Postoperative Computed Tomography Scan Showing View of Great Arteries After Total Arch Replacement
Figure 7
Figure 7
Postoperative Computed Tomography Scan Showing Posterior View of Total Arch Replacement and Reimplanted Coronary Artery
See this image and copyright information in PMC

References

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