Aortic dissection in a Chinese patient 31 years after surgical repair of tetralogy of Fallot.

Autor: Chow PC; Department of Paediatric Cardiology, Queen Mary Hospital, Hong Kong Special Administrative Region., Rocha BA; Department of Cardiothoracic Surgery, Queen Mary Hospital, Hong Kong Special Administrative Region., Au TWK; Department of Cardiothoracic Surgery, Queen Mary Hospital, Hong Kong Special Administrative Region., Yung TC; Department of Paediatric Cardiology, Queen Mary Hospital, Hong Kong Special Administrative Region.
Jazyk: angličtina
Zdroj: Journal of cardiology cases [J Cardiol Cases] 2020 Aug 06; Vol. 22 (4), pp. 174-176. Date of Electronic Publication: 2020 Aug 06 (Print Publication: 2020).
DOI: 10.1016/j.jccase.2020.06.009
Abstrakt: Aortic dilation has been increasingly recognized in congenital heart diseases, and aortic dissection is one of the important complications. We report a case of aortic dissection in a patient 31 years after repair of tetralogy of Fallot (TOF) and review reported cases. While aortic dissection is uncommon, aortic dilation is common among patients with repaired TOF and it appeared progressive in some patients. Based on the reported cases, progressive aortic dilation appeared as the pre-requisite for aortic dissection, although other factors might be involved. Regular surveillance and monitoring for aortic complications should be incorporated into clinical practice. < Learning objective: Aortic dilation is common but aortic dissection is uncommon in patients with tetralogy of Fallot, and threshold for prophylactic surgery is lacking. Recognition of progressive aortic dilation is important to identify patients at risk of aortic dissection in tetralogy of Fallot.>.
(© 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: