Document Detail

Neoaortic aneurysm after stage I Norwood reconstruction.
MedLine Citation:
PMID:  15734369     Owner:  NLM     Status:  MEDLINE    
Treatment of hypoplastic left heart syndrome through staged repairs has resulted in patients surviving into adulthood. Use of either aortic or pulmonary homografts in performing the neoaortic reconstruction has become the standard of practice with relatively few problems. We report the case of an asymptomatic adolescent boy who had an enlarging neoaortic aneurysm and mild neoaortic regurgitation develop after undergoing a stage I Norwood procedure using a pulmonary homograft. Given the risk for rupture and a concern for further functional deterioration of the neoaortic valve, the patient underwent repair. Histologic examination showed a striking accumulation of myxoid material as well as abnormal vasculature in both the native and engrafted portions of the neoaorta.
Afshin Ehsan; Harbinder Singh; Sara O Vargas; Joerg Sachweh; Richard A Jonas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  79     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-28     Completed Date:  2005-12-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e23-5     Citation Subset:  AIM; IM    
Division of Cardiothoracic Surgery, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA.
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MeSH Terms
Aortic Aneurysm / diagnosis,  etiology,  surgery*
Aortic Valve*
Cardiac Surgical Procedures / adverse effects,  methods
Hypoplastic Left Heart Syndrome / surgery*
Postoperative Complications / diagnosis,  surgery*
Pulmonary Valve / transplantation*

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