Key result
Type A aortic dissection is an exceptionally rare complication following tetralogy of Fallot repair, with only 7 case reports and 11 database cases identified between 2000 and 2022.
Why the study?
Type A aortic dissection is an exceptionally rare complication following repair of tetralogy of Fallot, with very few cases reported in the literature.
Case Report
Type A aortic dissection is a very rare but recognized complication of progressive aortic root dilatation in patients with repaired tetralogy of Fallot.
Progressive aortic root dilatation has been noted following repair of complex congenital heart diseases such as tetralogy of Fallot (TOF).1 Whilst aortic root dilatation has been recognized as a complication of conotruncal anomalies, type A aortic dissection (TAD) is an exceptionally rare complication with only 7 individual case reports in the literature from 2005 to 2022.2 Eleven further cases have been identified in the National Inpatient Sample Database of TAD cases amongst all hospital admissions in adults with repaired tetralogy of Fallot (TOF) from 2000 to 2014.
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Shehata et al. (2023) conducted a case report in Repaired tetralogy of Fallot (TOF) and type A aortic dissection (TAD). Tetralogy of Fallot repair was evaluated on Type A aortic dissection. Type A aortic dissection is an exceptionally rare complication following tetralogy of Fallot repair, with only 7 case reports and 11 database cases identified between 2000 and 2022.
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