Kim Tae Sik, Na Chan-Young, Baek Jong Hyun, Yang Jin Sung
Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Aug;44(4):292-3. doi: 10.5090/kjtcs.2011.44.4.292. Epub 2011 Aug 18.
Surgical repair of the tetralogy of Fallot is one of the most successful operations in the treatment of congenital heart diseases. We report the case of a 65-year-old man who had an aortic valve replacement at the time of complete repair of the tetralogy of Fallot at the age of forty-three. He subsequently had progressive aortic root and ascending aorta dilation to 9 cm. The aortic root and ascending aorta replacement was done using a composite valve-graft and was performed along with other procedures. Thus, meticulous follow-up of aortic root and ascending aorta after corrective surgery for tetralogy of Fallot is recommended following initial curative surgery.
法洛四联症的外科修复是治疗先天性心脏病最成功的手术之一。我们报告一例65岁男性病例，该患者43岁时在法洛四联症完全修复的同时进行了主动脉瓣置换。随后，他的主动脉根部和升主动脉逐渐扩张至9厘米。采用复合瓣膜移植物进行了主动脉根部和升主动脉置换，并同时进行了其他手术。因此，建议在法洛四联症初次根治性手术后，对主动脉根部和升主动脉进行细致的随访。
