Restricted accessResearch articleFirst published online 2014-7
Combined Rastelli and Bentall Procedures for Pulmonary Atresia With Ventricular Septal Defect and a Large Aortopulmonary Collateral Artery and Ascending Aorta Aneurysm
We report a challenging case of a 32-year-old patient in New York Heart Association (NYHA) class IV with pulmonary atresia, ventricular septal defect, a left aortopulmonary collateral artery, a right modified Blalock-Taussing shunt, and a gigantic aneurysm of the ascending aorta with severe aortic valve insufficiency. A combined Rastelli and Bentall procedure was performed by a joint adult and pediatric cardiovascular surgery team. One year after the operation, the patient is in NYHA class I, working full time.
RastelliGCWallaceRBOngleyPA. Complete repair of transposition of the great arteries with pulmonary stenosis: a review and report of a case corrected by using a new surgical technique. Circulation. 1969;39(1):83–95.
2.
BentallHDe BonoA. A technique for complete replacement of the ascending aorta. Thorax. 1968;23(4):338–339.
3.
StulakJMDearaniJBurkhartHMSundtTMConnollyHMSchaffHV. Does the dilated ascending aorta in an adult with congenital heart disease require intervention?J Thorac Cardiovasc Surg. 2010;140(5 suppl):S52–S57.
4.
DoddsGAWarnesCADanielsonGK. Aortic valve replacement after repair of pulmonary atresia and ventricular septal defect or Fallot. J Thorac Cardiovasc Surg. 1997;113(4):736–741.
5.
CapelliHRossDSomervilleJ. Aortic regurgitation in tetrad of Fallot and pulmonary atresia. Am J Cardiol. 1982;49(8):1979–1983.
