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Case Reports

Aortic Aneurysm Formation Five Decades After Tetralogy of Fallot Repair

^a Cardiothoracic Unit, University Hospital of Wales, Cardiff, United Kingdom
^b Adult Congenital Heart Disease Unit, University Hospital of Wales, Cardiff, United Kingdom

Accepted for publication February 9, 2009.

^_* Address correspondence to Dr Luckraz, Cardiothoracic Unit, Block C5, University Hospital of Wales, Cardiff, CF14 4XW, United Kingdom (Email: heymanluckraz{at}aol.com).

Surgical repair of tetralogy of Fallot is recognized as one of the most successful palliative cardiac surgical procedures. We report a patient in whom cystic medial necrosis developed 50 years after tetralogy of Fallot repair that caused a pathologic ascending aortic aneurysm requiring operative repair. Thus, long-term clinical follow-up along with echocardiography, when indicated, is mandatory in patients undergoing tetralogy of Fallot repair.