ArticleJournal of cardiothoracic surgery2025
Ascending aorta dilatation for pulmonary atresia with ventricular septal defect: a report of three adult cases.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPatients with pulmonary atresia and ventricular septal defect (PA/VSD) are prone to progressive aortic dilation. However, there are relatively few reports of progressive development of aortic aneurysm or aortic dissection in adult patients who missed early corrective surgery. PRESENTATION OF CASES: Case 1: A 38-year-old man with PA/VSD and a bicuspid aortic valve (BAV), underwent VSD repair, aortic valve replacement, and PA correction at age 21. Seventeen years after surgery, an aortic dissection occurred in the ascending aorta, which subsequently underwent the Bentall procedure. Case 2: A 33-year-old male with PA/VSD, and a Nakata index of 31.24 mm
conclusionsAdult patients with PA/VSD who miss the optimal age for surgery are more likely to develop dilatation of the ascending aorta and are at risk for aortic dissection. Therefore, long-term follow-up and monitoring is needed in this patient population.
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