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10.5606/tgkdc.dergisi.2016.11996
Aortopathy following the correction of tetralogy of Fallot
Şafak Alpat, Mustafa Yılmaz (Uzm. Dr.), Recep Oktay Peker, Mustafa Yılmaz (Prof. Dr.)
Department of Cardiovascular Surgery, Medical Faculty of Hacettepe University, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.11996
Tetralogy of Fallot is one of the most common forms of
cyanotic congenital heart disease. Thanks to the evolution
of surgical concepts and improved intra- and postoperative
management strategies, its 30-year survival rate is 90%.
However, once the number of these patients has grown,
clinicians can face with new challenges. Pulmonary valve
regurgitation is the most common long-term complication
which eventually requires surgery. Although aortic valve
and ascending aorta is mostly overlooked, aortic root
dilatation and associated aortic valve regurgitation are rare,
but major long-term complications. There are no guidelines
or clear evidence-based approaches; only sporadic case
series exist in the literature. Herein, we report a 31-year-old
male case who was incidentally diagnosed with aortic root
dilatation 23 years after total surgical repair of tetralogy
of Fallot.
Keywords : Aortic regurgitation; aortic root dilatation; aortic valve; tetralogy of Fallot
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