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Ann Thorac Surg 2001;72:2124-2125
© 2001 The Society of Thoracic Surgeons

Case report

Combined primary repair of tetralogy of Fallot and aortic root replacement

H. Tarik Kiziltan, MD*a, Semra Topcu, MDb, Nazan Ozbarlas, MDc, Fazilet Kayaselcuk, MDd

a Department of Cardiovascular Surgery, Dr. Turgut Noyan Clinic and Research Center, Baskent University, Adana, Turkey
b Department of Cardiology, Dr. Turgut Noyan Clinic and Research Center, Baskent University, Adana, Turkey
c Department of Pediatric Cardiology, Dr. Turgut Noyan Clinic and Research Center, Baskent University, Adana, Turkey
d Department of Pathology, Dr. Turgut Noyan Clinic and Research Center, Baskent University, Adana, Turkey

Accepted for publication March 14, 2001.

* Address reprint requests to Dr Kiziltan, Department of Cardiovascular Surgery, Dr. Turgut Noyan Clinic and Research Center, Baskent University, Adana 01250, Turkey
e-mail: tkiziltan{at}turk.net

Tetralogy of Fallot associated with ascending aortic aneurysm and aortic valve regurgitation is unusual. This combination necessitates a change in operative strategy during complete tetralogy repair. We present a 43-year-old woman who successfully underwent composite graft replacement of the ascending aorta and aortic valve during primary complete tetralogy repair. Histologic examination of the aorta revealed medial degeneration.






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