Key result
A combined Rastelli and Bentall procedure successfully treated a 32-year-old patient with complex congenital heart disease and an ascending aorta aneurysm, improving functional class from IV to I at 1 year.
Case Report (n=1)
No
A combined Rastelli and Bentall procedure successfully treated a complex adult congenital heart disease presentation, leading to significant functional improvement at 1 year.
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May support feasibility in rare adult congenital cases with aortic aneurysm; hypothesis-generating and requires validation before practice change.
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.
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Chiostri et al. (2014) conducted a case report in Pulmonary atresia with ventricular septal defect, large aortopulmonary collateral artery, and ascending aorta aneurysm (n=1). Combined Rastelli and Bentall procedure was evaluated on NYHA class and functional status. A combined Rastelli and Bentall procedure successfully treated a 32-year-old patient with complex congenital heart disease and an ascending aorta aneurysm, improving functional class from IV to I at 1 year.
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