Combined primary repair of right ventricular outflow tract obstruction and ascending aortic aneurysm

A 23-year-old male presented with dyspnoea, cyanosis and clubbing and diagnosed to have the right ventricular outflow tract obstruction, patent foramen ovale, severe aortic regurgitation and ascending aortic aneurysm. The diagnosis was achieved by transthoracic echocardiography, cardiac catheterizat...

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Bibliographic Details
Published in:Indian journal of thoracic and cardiovascular surgery 2014-06, Vol.30 (2), p.167-169
Main Authors: Rao, Jinaga Nageswar, Gajjar, Trushar, Desai, Neelam
Format: Article
Language:English
Subjects:
Cardiac Surgery
Case Report
Medicine
Medicine & Public Health
Surgery
Thoracic Surgery
Vascular Surgery
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Description
Summary:A 23-year-old male presented with dyspnoea, cyanosis and clubbing and diagnosed to have the right ventricular outflow tract obstruction, patent foramen ovale, severe aortic regurgitation and ascending aortic aneurysm. The diagnosis was achieved by transthoracic echocardiography, cardiac catheterization and contrast-enhanced computed tomography. A successful intracardiac repair with aortic root replacement was performed. Postoperative course was uneventful. Postoperative and 3-month follow-up echocardiogram revealed no gradient across right ventricular outflow tract with mild pulmonary regurgitation and normally functioning prosthetic aortic valve. Histological examination of the aorta revealed cystic medial necrosis of aneurysmal sac wall.
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-014-0272-2